Healthcare Provider Details

I. General information

NPI: 1689561185
Provider Name (Legal Business Name): SNF REHAB ONLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 SAGE SPARROW CIR
VACAVILLE CA
95687-7751
US

IV. Provider business mailing address

269 SAGE SPARROW CIR
VACAVILLE CA
95687-7751
US

V. Phone/Fax

Practice location:
  • Phone: 707-451-4111
  • Fax: 707-451-9803
Mailing address:
  • Phone: 707-451-4111
  • Fax: 707-451-9803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHRYN AMACHER
Title or Position: OWNER
Credential: MD
Phone: 707-451-4111