MEDICARE: 5M CARE LLC

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	:	1336083468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5M CARE LLC

Provider Business Mailing Address
First Line	:	8818 SHARKEY AVE
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1859
Country	:	US
Telephone Number	:	916-914-5119
Fax Number	:	916-647-9345

Provider Business Practice Location Address
First Line	:	8705 GREAT CT
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1873
Country	:	US
Telephone Number	:	916-914-5119
Fax Number	:	916-647-9345

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ANNIE LYN RODRIGUEZ
Credential	:
Telephone Number	:	916-914-5119

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/18/2026

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