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OrganizationActive

Shaded Arbor Llc

Assisted Living Facility

RICHARD MUTKA
NPI: 1003213950El Cajon, California, 92021(619) 631-7000

About Shaded Arbor Llc

Shaded Arbor Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1003213950. The authorized official for Shaded Arbor Llc is RICHARD MUTKA.

The organization is headquartered at 1412 GROVELAND TER, El Cajon, California 92021. The main office can be reached at (619) 631-7000. Shaded Arbor Llc has been NPI-registered since 2014.

Locations & Contact

Primary Location

Address
1412 GROVELAND TER
City
El Cajon
State
California
ZIP
92021-3418
Phone
(619) 631-7000
Fax
(619) 631-7591
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Authorized Official

Name
RICHARD MUTKA

Mailing Address

Address
1412 GROVELAND TER
City
EL CAJON
State
CA
ZIP
920213418

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Assisted Living Facility
Classification
Assisted Living Facility
Taxonomy Code
310400000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Shaded Arbor Llc's NPI number?
Shaded Arbor Llc's National Provider Identifier (NPI) is 1003213950. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Shaded Arbor Llc specialize in?
Shaded Arbor Llc specializes in Assisted Living Facility.
Where is Shaded Arbor Llc located?
Shaded Arbor Llc practices at 1412 GROVELAND TER, El Cajon, California 92021. You can reach them by phone at (619) 631-7000.
Does Shaded Arbor Llc accept Medicare?
Based on available data, Shaded Arbor Llc is not currently enrolled in the Medicare program.
Does Shaded Arbor Llc offer telehealth or virtual visits?
Shaded Arbor Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Shaded Arbor Llc holds NPI 1003213950, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.