Healthcare Provider Details

I. General information

NPI: 1932016201
Provider Name (Legal Business Name): HEART FOR ELDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5729 LA FIELD DR
FAIR OAKS CA
95628-3021
US

IV. Provider business mailing address

5729 LA FIELD DR
FAIR OAKS CA
95628-3021
US

V. Phone/Fax

Practice location:
  • Phone: 916-839-3336
  • Fax: 888-252-3712
Mailing address:
  • Phone: 916-839-3336
  • Fax: 888-252-3712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ABELENO RUIZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 279-800-6455