Healthcare Provider Details

I. General information

NPI: 1831904705
Provider Name (Legal Business Name): SACRAMENTO BASED ADULT DAY SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 STEINER ST
SAN FRANCISCO CA
94115-3526
US

IV. Provider business mailing address

620 BERCUT DR BERCUT
SACRAMENTO CA
95811
US

V. Phone/Fax

Practice location:
  • Phone: 415-963-4802
  • Fax: 415-839-9564
Mailing address:
  • Phone: 619-414-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA SUNDBERG
Title or Position: CONSULTANT
Credential:
Phone: 916-444-7700