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General NPI Number Information
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NPI Number | 1952250128
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Entity Type | Organization
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Legal Business Name | SENIOR GROUP LIVING SERVICES, INC.
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 890 N REFUGIO RD BLDG 1000
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City | SANTA YNEZ
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State | CA
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Zip | 93460-9376
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Country | US
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Telephone | 805-695-3873
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Fax |
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Provider Business Mailing Address
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Address Line | 815 W OCEAN AVE
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City | LOMPOC
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State | CA
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Zip | 93436-6526
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Country | US
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Telephone | 805-695-3873
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANNA RODRIGUEZ-REGALADO
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Credential |
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Telephone | 805-695-3873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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