# WEST SACRAMENTO NURSING AND REHABILITATION CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** West Sacramento Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104316413
- **Authorized official:** MR. DAVID MANUKYAN (ADMINISTRATOR)
- **Authorized official phone:** (916) 572-0085

## Contact information

- **Practice address:** 751 ELM STREET, WEST SACRAMENTO, CA 95605
- **Practice address phone:** (530) 902-4142
- **Mailing address:** 751 ELM STREET, WEST SACRAMENTO, CA 95605
- **Mailing address phone:** (916) 572-0085
- **Mailing address fax:** (916) 572-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | CA | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2018
- **Last updated:** 09/13/2021
