Healthcare Provider Details
I. General information
NPI: 1083598619
Provider Name (Legal Business Name): UPPERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1260 WILLIAMS WAY
YUBA CITY CA
95991-2400
US
IV. Provider business mailing address
2266 LAVA RIDGE CT
ROSEVILLE CA
95661-2856
US
V. Phone/Fax
- Phone: 530-790-3000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDON
BURKINSHAW
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 480-206-2229