Aging With Grace Housing Initiative

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AGING WITH GRACE HOUSING INITIATIVE

Practice address

6464 Villa Dr
Sacramento, CA 95842-2426

Phone

(415) 385-9523

NPI assigned

Jan 11, 2025

Last updated

Jan 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andreas Mathew Mehalakis

Title

Executive Director

Phone

(415) 385-9523

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1215747274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 WEBSTER ST APT 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233400",
            "telephone_number": "415-385-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 VILLA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422426",
            "telephone_number": "415-385-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WITH GRACE HOUSING INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "MEHALAKIS",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-385-9523"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imuetieyan Matthew Aghahowa, MHT
• Arash Aghakhani, DDS
• Agile Occupational Medicine, PC
• Aging Oasis LLC (Aging Oasis)
• Aging Oasis LLC
• Iris Q Agis
• Aglow ABA LLC
• Erika Agnello
• Alicia Agnoli, MD
• Anna Marie Agoncillo

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.