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NPI Code Detail

MEDICARE: AT YOUR SERVICE RESIDENTIAL HOMES, LLC

MEDICARE: AT YOUR SERVICE RESIDENTIAL HOMES, 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
1311ZA0620XAdult Care Home Facility
2310400000XAssisted Living Facility

General Provider Information

NPI Number : 1649126269
Entity Type Code : Organization
Provider Name (Legal Business Name) : AT YOUR SERVICE RESIDENTIAL HOMES, LLC
Provider Business Mailing Address
First Line : 8939 UPBEAT WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-5535
Country : US
Telephone Number : 916-385-1186
Fax Number :
Provider Business Practice Location Address
First Line : 8939 UPBEAT WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-5535
Country : US
Telephone Number : 916-385-1186
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : TAMEKA TUCKER
Credential :
Telephone Number : 916-385-1186
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “AT YOUR SERVICE RESIDENTIAL HOMES, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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