Healthcare Provider Details

I. General information

NPI: 1952250128
Provider Name (Legal Business Name): SENIOR GROUP LIVING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 N REFUGIO RD BLDG 1000
SANTA YNEZ CA
93460-9376
US

IV. Provider business mailing address

815 W OCEAN AVE
LOMPOC CA
93436-6526
US

V. Phone/Fax

Practice location:
  • Phone: 805-695-3873
  • Fax:
Mailing address:
  • Phone: 805-695-3873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNA RODRIGUEZ-REGALADO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 805-695-3873