Martin'S Acheivement Place

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MARTIN'S ACHEIVEMENT PLACE

Practice address

5240 Jackson St
North Highlands, CA 95660-5003

Phone

(916) 338-1001

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Kenneth L Broughton

Title

Assistant House Manager

Phone

(916) 202-1417

Specialties & licenses 1

Addresses

Practitioners 2

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

• Nicole Lee

  • Student in an Organized Health Care Education/Training Program
  • North Highlands, CA
  • NPI 1306081617
  NPD (past)
• Christopher Thomas Luedloff

  • Counselor
  • North Highlands, CA
  • NPI 1295080638
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1194070128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956110560",
            "telephone_number": "916-338-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 JACKSON ST",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605003",
            "telephone_number": "916-338-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN'S ACHEIVEMENT PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT HOUSE MANAGER",
        "authorized_official_telephone_number": "916-202-1417"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Anatolyevna Lysak
• Maap Inc
• Shannon L Mann
• Leoni Manulang
• Maria'S Home Care 1 LLC
• Laura Martinez
• Martins' Childrens Achievement Place, Inc.
• Kevin N Maughan
• Sarah McElroy
• Rebecca McLean I

• Mental Illness Community Based Residential Treatment Facility in North Highlands, CA
• Providers in North Highlands, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.