OrganizationActive
Special Request LLC
NPI 1740826163 · Custodial Care Facility · Castro Valley, CA
Provider details
- NPI number
- 1740826163
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Tet, LLC Member(510) 292-8610
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
18821 Carlton Ave
Castro Valley, CA 94546-2907
Phone: (415) 797-9266
Approximate (ZIP-level) locationGet directions
Mailing address
18821 Carlton Ave
Castro Valley, CA 94546-2907
Other names (DBA / former)
- Doing business as
- Lake Chabot Assisted Living
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2019-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.