Healthcare Provider Details

I. General information

NPI: 1992633630
Provider Name (Legal Business Name): SEWA SENIOR FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 CRESCENDO DR
ROSEVILLE CA
95678-5166
US

IV. Provider business mailing address

11934 ROQUEFORT WAY
RANCHO CORDOVA CA
95742-6938
US

V. Phone/Fax

Practice location:
  • Phone: 916-582-9819
  • Fax: 279-249-3020
Mailing address:
  • Phone: 916-582-9819
  • Fax: 279-249-3020

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: MANAVDEEP SOHAL
Title or Position: SUPERVISOR
Credential:
Phone: 916-582-9819