Provider Demographics
NPI:1588443857
Name:THE CABRITO GROUP LLC
Entity type:Organization
Organization Name:THE CABRITO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-623-3092
Mailing Address - Street 1:8100 S BRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:FRENCH CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95231-9759
Mailing Address - Country:US
Mailing Address - Phone:209-234-2550
Mailing Address - Fax:
Practice Address - Street 1:8100 S BRIGHT RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9759
Practice Address - Country:US
Practice Address - Phone:209-234-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness