NPIMap

Organization Active NPI

Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
National Provider Identifier
1295893014
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
290300461 Issued in CA
Legal business name
MOUNTAIN VALLEY CHILD AND FAMILY SERVICES, INC.
Practice address
6171 Bradshaw Rd
Sacramento, CA 95829-9334
Phone
(916) 362-8292
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Richard Milhous
Title
Cfo
Phone
(530) 265-9057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 290300461 CA Primary

Addresses

Primary practice location

6171 Bradshaw Rd
Sacramento, CA 95829-9334

Mailing address

24077 Hwy 49
Nevada City, CA 95959
Phone (916) 368-2223

Other identifiers 1

IdentifierTypeStateIssuer
00386OtherCAMEDICAL PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Mountain Valley Child and Family Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1295893014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 HWY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "95959",
            "telephone_number": "916-368-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 BRADSHAW RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299334",
            "telephone_number": "916-362-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY CHILD AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MILHOUS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-265-9057"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "290300461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "00386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.