NPIMap

Organization Active NPI

Peacock Acres, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Salinas, CA
National Provider Identifier
1114123965
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PEACOCK ACRES, INC
Practice address
251 Old Stage Rd
Salinas, CA 93908-9760
Phone
(831) 754-3635
Fax
(831) 754-4733
NPI assigned
Jun 26, 2007
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Ms. Shaniz Beza Howard
Title
Executive Director
Phone
(831) 754-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

251 Old Stage Rd
Salinas, CA 93908-9760

Mailing address

251 Old Stage Rd
Salinas, CA 93908-9760
Phone (831) 754-3635

Other names 1

  • PA 1 Other name

National Provider Directory

National Provider Directory

Locations

830 Park Row
Salinas, CA 93901
Phone (831) 596-4343

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1114123965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 OLD STAGE RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939089760",
            "telephone_number": "831-754-3635",
            "fax_number": "831-754-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 OLD STAGE RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939089760",
            "telephone_number": "831-754-3635",
            "fax_number": "831-754-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACOCK ACRES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SHANIZ",
        "authorized_official_middle_name": "BEZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-754-3635",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PA 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.