Organization
LIVERMORE CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MADEENA SIDDIQI (ADMINISTRATOR/OWNER)
(510) 695-3017
Entity
Organization
Contact information
Practice address
1542 PERIDOT DR., LIVERMORE, CA 94550
(510) 695-3017
Mailing address
4555 HOPYARD RD., C-17, PLEASANTON, CA 94588
(510) 695-3017
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/04/2026
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