MEDICARE: AMORUSO CARE HOME

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	:	1255258364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMORUSO CARE HOME

Provider Business Mailing Address
First Line	:	4649 PLANTATION DR
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-5640
Country	:	US
Telephone Number	:	916-475-7261
Fax Number	:	916-459-4117

Provider Business Practice Location Address
First Line	:	4649 PLANTATION DR
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-5640
Country	:	US
Telephone Number	:	916-475-7261
Fax Number	:	916-459-4117

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TITIANA CHIRA
Credential	:
Telephone Number	:	916-475-7261

Provider Enumeration Date	:	06/30/2026
Last Update Date	:	06/30/2026

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Directions to “AMORUSO CARE HOME ” Practice Location

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