Provider Demographics
NPI:1316824261
Name:ELIXIR CARE HOME
Entity type:Organization
Organization Name:ELIXIR CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA GLORIA
Authorized Official - Middle Name:MONTECILLO
Authorized Official - Last Name:DULAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-685-6705
Mailing Address - Street 1:1440 HOOD RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2311
Mailing Address - Country:US
Mailing Address - Phone:707-685-6705
Mailing Address - Fax:
Practice Address - Street 1:1440 HOOD RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2311
Practice Address - Country:US
Practice Address - Phone:707-685-6705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility