# NEWPORT LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255938015
- **Authorized official:** RYAN WILLIAMS (PARTNER)
- **Authorized official phone:** (916) 945-1248

## Contact information

- **Practice address:** 2030 EVERGREEN AVE, MODESTO, CA 95350-3785
- **Practice address phone:** (916) 899-1315
- **Mailing address:** 599 MENLO DR STE 200, ROCKLIN, CA 95765-3725
- **Mailing address phone:** (916) 899-1315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2020
- **Last updated:** 02/01/2024