Provider Demographics
NPI:1194482307
Name:SARKA LLC
Entity type:Organization
Organization Name:SARKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAVITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAMOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-331-5774
Mailing Address - Street 1:603 W LA CANADA AVE
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1150
Mailing Address - Country:US
Mailing Address - Phone:510-331-5774
Mailing Address - Fax:209-362-2022
Practice Address - Street 1:528 COCONUT PL
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-1994
Practice Address - Country:US
Practice Address - Phone:925-308-4625
Practice Address - Fax:209-362-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility