St Therese's Haven

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

ST THERESE'S HAVEN

Practice address

8520 Sunrise Woods Way
Sacramento, CA 95828-5360

Phone

(916) 689-8109

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dina A Bough

Title

Administrator

Phone

(916) 806-2031

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1235325408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 SUNRISE WOODS WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 SUNRISE WOODS WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285360",
            "telephone_number": "916-689-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THERESE'S HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "BOUGH",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-806-2031"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Phillip St John
• Angela St Louis, ASW
• Shannon Ann St Louis
• Coenita Marie St Mary
• Preona St Mary
• Helaine Greene St. Amant, MD
• Deaster St. Charles
• Brian St. Geme
• St. Jude Radiology Medical Group, Inc.
• St. Mary's Home

• Assisted Living Facility (Mental Illness) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.