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General NPI Number Information
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NPI Number | 1851208110
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Entity Type | Organization
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Legal Business Name | FIRESTONE CARE HOME INC.
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 8007 FIRESTONE WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-4629
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Country | US
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Telephone | 916-225-2670
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 RESPONSE RD STE 350
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City | SACRAMENTO
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State | CA
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Zip | 95815-5255
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Country | US
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Telephone | 916-313-9100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ADMIN
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Name | SYED FAHAD SHAH
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Credential |
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Telephone | 916-313-9100
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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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