MEDICARE: MANNAT ASSISTED LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1205795937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANNAT ASSISTED LIVING

Provider Business Mailing Address
First Line	:	12050 COUNTRY GARDEN DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-8206
Country	:	US
Telephone Number	:	916-841-9449
Fax Number	:	916-841-9449

Provider Business Practice Location Address
First Line	:	12050 COUNTRY GARDEN DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-8206
Country	:	US
Telephone Number	:	916-841-9449
Fax Number	:	916-841-9449

Authorized Official
Title or Position	:	ADMIN
Name	:	MRS. SIMRANJIT KAUR BHATIA
Credential	:	BHATIA
Telephone Number	:	916-841-9449

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “MANNAT ASSISTED LIVING ” Practice Location

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