Provider Demographics
NPI:1528457066
Name:SILVER LINING CARE HOME
Entity type:Organization
Organization Name:SILVER LINING CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/STAFF EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RODRILLO
Authorized Official - Last Name:DOLLAGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-749-2224
Mailing Address - Street 1:8538 KRANS CT
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-4059
Mailing Address - Country:US
Mailing Address - Phone:916-479-9191
Mailing Address - Fax:916-479-9191
Practice Address - Street 1:3570 HAZELTINE LN
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-6319
Practice Address - Country:US
Practice Address - Phone:916-749-2224
Practice Address - Fax:916-742-1837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3470054473104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances