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Country Club Manor

Assisted Living Facility in Sacramento, CA · enumerated 2007 · authorized official Stuart Drake, Exec. Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033259213

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Registry record

Entity type Organization (Type 2)
Legal business name Country Club Manor
Practice address 2100 Butano Dr, Sacramento, CA, 95825
Phone (916) 481-9240
Fax (916) 483-7134
Enumeration date Feb 7, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Stuart Drake
Title Exec. Administrator
Phone (916) 481-9240

Other identifiers

Identifier Type State Issuer
RCF00022F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Country Club Manor?
NPPES lists Stuart Drake (Exec. Administrator) as the authorized official for this organization.
What is the NPI number for Country Club Manor?
The NPI for Country Club Manor is 1033259213, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.