SGBRC LLC NPI 1639096753

NPI Information

  • NPI: 1639096753
  • Provider Name: SGBRC LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 24596 DARDANIA AVE
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 637-0295

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NPI Details

SGBRC LLC is an assisted living facility in Mission Viejo, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SGBRC LLC NPI is 1639096753. The provider is registered as an organization entity type.

The provider's business location address is:

24596 DARDANIA AVE
MISSION VIEJO, CA
ZIP 92691-623
Phone: (949) 637-0295

The provider's authorized official is Albert Dahbour .
The authorized official title is Licensee and has the following contact phone number (949) 637-0295.

The enumeration date for this NPI number is 6/30/2026 and was last updated on 6/30/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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