NPIMap

Organization Active NPI

Slow Sculpture

  • Nursing Facility/Intermediate Care Facility
  • Santa Rosa, CA
National Provider Identifier
1124192364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
SLOW SCULPTURE
Practice address
4520 Badger Rd
Santa Rosa, CA 95409-2631
Phone
(707) 537-7024
Fax
(707) 537-1753
NPI assigned
Nov 20, 2006
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
Mrs. Sarane Alison Baker-Collins
Title
Cfo
Phone
(707) 537-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X CA Primary

Addresses

Primary practice location

4520 Badger Rd
Santa Rosa, CA 95409-2631

Mailing address

4520 Badger Rd
Santa Rosa, CA 95409-2631
Phone (707) 537-7024

Other names 1

  • BADGER CREEK Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G066

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BADGER CREEK
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 13, 1997
Last certification
Nov 13, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
4520 Badger Road
Santa Rosa, CA 95409

National Provider Directory

National Provider Directory
Tax ID family
Badger Creek3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4520 Badger Rd
Santa Rosa, CA 95409
Phone (707) 537-7024

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124192364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 BADGER RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092631",
            "telephone_number": "707-537-7024",
            "fax_number": "707-537-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BADGER RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092631",
            "telephone_number": "707-537-7024",
            "fax_number": "707-537-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOW SCULPTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER-COLLINS",
        "authorized_official_first_name": "SARANE",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-537-7024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BADGER CREEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.