Active NPI
Ukrainian American House
- Community Health Worker
- Roseville, CA
National Provider Identifier
1326968991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- UKRAINIAN AMERICAN HOUSE
- Practice address
- 1101 Creekside Ridge Dr Ste 290
Roseville, CA 95678-3567 - Phone
- (916) 201-0101
- NPI assigned
- Jul 15, 2026
- Last updated
- Jul 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denys Nakonechnyi
- Title
- Executive Director
- Phone
- (916) 201-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
1101 Creekside Ridge Dr Ste 290
Roseville, CA 95678-3567
Mailing address
1101 Creekside Ridge Dr Ste 290
Roseville, CA 95678-3567
Phone (916) 201-0101
National Provider Directory
National Provider DirectoryLocations
1101 Creekside Ridge Dr
Ste 290
Roseville, CA 95678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1326968991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 CREEKSIDE RIDGE DR STE 290",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956783567",
"telephone_number": "916-201-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CREEKSIDE RIDGE DR STE 290",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956783567",
"telephone_number": "916-201-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UKRAINIAN AMERICAN HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "NAKONECHNYI",
"authorized_official_first_name": "DENYS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "916-201-0101"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.