The Retreat at Skylake

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE RETREAT AT SKYLAKE

Practice address

779 Skylake Way
Sacramento, CA 95831-2601

Phone

(916) 549-2724

Fax

(916) 829-2737

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Antonette Tin

Title

Administrator

Phone

(916) 549-2724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1316709728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 SKYLAKE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312601",
            "telephone_number": "916-549-2724",
            "fax_number": "916-829-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 SKYLAKE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312601",
            "telephone_number": "916-549-2724",
            "fax_number": "916-829-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETREAT AT SKYLAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "TIN",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-549-2724"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Permanente Medical Group, Inc.
• The Physical Therapy Clinics, Inc. (29th Street Physical Therapy & Hand Rehabiliation)
• The Plastic Surgery Center
• The Point Acupuncture and Wellness Center Inc
• The Retreat at Greenhurst
• The Road to Wellness
• The Salvation Army, a California Corporation
• The Slug House, LLC
• The Sunborn Collective (Sunborn Birth and Bodywork)
• The Thriving Self

• 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 30, 2024; 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.