Organization Active NPI

Samuel D'Autruche, Inc

  • Adult Care Home Facility
  • Pleasant Hill, CA
National Provider Identifier
1144764614
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SAMUEL D'AUTRUCHE, INC
Practice address
1612 N Marta Dr
Pleasant Hill, CA 94523-3023
Phone
(925) 471-0671
NPI assigned
Dec 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Authorized official

Name
Mr. Obed D'Autruche
Title
President
Phone
(925) 471-0671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1612 N Marta Dr
Pleasant Hill, CA 94523-3023

Mailing address

1612 N Marta Dr
Pleasant Hill, CA 94523-3023
Phone (925) 471-0671

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1144764614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N MARTA DR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233023",
            "telephone_number": "925-471-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N MARTA DR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233023",
            "telephone_number": "925-471-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL D'AUTRUCHE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "D'AUTRUCHE",
        "authorized_official_first_name": "OBED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-471-0671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.