Organization Active NPI

Sky Park Gardens Assisted Living

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1073730156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SKY PARK GARDENS ASSISTED LIVING
Practice address
5510 Sky Pkwy
Sacramento, CA 95823-2275
Phone
(916) 422-5650
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe L Johnson, RN, MBA, NHA
Title
Administrator
Phone
(916) 422-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CA Primary

Addresses

Primary practice location

5510 Sky Pkwy
Sacramento, CA 95823-2275

Mailing address

5510 Sky Pkwy
Sacramento, CA 95823-2275
Phone (916) 422-5650

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073730156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 SKY PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232275",
            "telephone_number": "916-422-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 SKY PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232275",
            "telephone_number": "916-422-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY PARK GARDENS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-422-5650",
        "authorized_official_credential": "RN, MBA, NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.