NPIMap

Organization Active NPI

I.M.a.G.E Transitional Homes, Inc.

  • Health Maintenance Organization
  • Elk Grove, CA
National Provider Identifier
1336433804
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MFC42444 Issued in CA
Legal business name
I.M.A.G.E TRANSITIONAL HOMES, INC.
Practice address
8575 Elk Grove Florin Rd
Apt. 330
Elk Grove, CA 95624-9532
Phone
(916) 833-9558
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mary Horton
Title
President
Phone
(916) 541-1370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MFC42444 CA Primary

Addresses

Primary practice location

8575 Elk Grove Florin Rd
Apt. 330
Elk Grove, CA 95624-9532

Mailing address

545 Pinedale Ave
Sacramento, CA 95838-1517

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1336433804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PINEDALE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958381517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 ELK GROVE FLORIN RD",
            "address_2": "APT. 330",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249532",
            "telephone_number": "916-833-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.M.A.G.E TRANSITIONAL HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-541-1370"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "MFC42444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.