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General NPI Number Information
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NPI Number | 1649103599
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Entity Type | Organization
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Legal Business Name | VISTA ROSEVILLE SENIOR LIVING INC.
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1 SOMER RIDGE DR
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City | ROSEVILLE
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State | CA
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Zip | 95661-5252
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Country | US
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Telephone | 916-773-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N BARRANCA ST STE 200
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City | WEST COVINA
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State | CA
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Zip | 91791-1651
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Country | US
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Telephone | 626-430-9066
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | JAMES BENDER
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Credential |
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Telephone | 310-430-2944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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