OrganizationActive
Assisted Living Therapies
NPI 1285735084 · Assisted Living Facility · Shingle Springs, CA
Provider details
- NPI number
- 1285735084
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Zimmerman, Owner/Occupational Therapist(530) 677-5294
- License
- OT4110 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3657 Blueberry Hill Dr
Shingle Springs, CA 95682-8885
Phone: (530) 677-5294
Fax: (530) 677-5294
Approximate (ZIP-level) locationGet directions
Mailing address
3657 Blueberry Hill Dr
Shingle Springs, CA 95682-8885
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.