Healthcare Provider Details

I. General information

NPI: 1952225716
Provider Name (Legal Business Name): RAV OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 ROSE ARBOR DR
SACRAMENTO CA
95835-1793
US

IV. Provider business mailing address

2001 ROSE ARBOR DR
SACRAMENTO CA
95835-1793
US

V. Phone/Fax

Practice location:
  • Phone: 916-216-8958
  • Fax:
Mailing address:
  • Phone: 916-216-8958
  • Fax:

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: MR. GREG KLICK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 916-216-8958