=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114803764
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALHAMBRA CREEK LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2025
-----------------------------------------------------
Last Update Date | 08/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4110 ALHAMBRA WAY
-----------------------------------------------------
City | MARTINEZ
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94553-3924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-593-9111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 156 LAS QUEBRADAS
-----------------------------------------------------
City | ALAMO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94507-1741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-593-9111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | MR. DINESH SAWHNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 510-593-9111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------