Healthcare Provider Details

I. General information

NPI: 1851933261
Provider Name (Legal Business Name): SWAMIS HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 08/18/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38650 MISSION BLVD
FREMONT CA
94536-4391
US

IV. Provider business mailing address

701 PALOMAR AIRPORT RD STE 230
CARLSBAD CA
92011-1046
US

V. Phone/Fax

Practice location:
  • Phone: 510-793-3000
  • Fax:
Mailing address:
  • Phone: 760-656-6985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GILL
Title or Position: CEO
Credential:
Phone: 760-656-6985