Organization Active NPI

Mindstar Services

  • Respite Care
  • Sacramento, CA
National Provider Identifier
1396466306
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MINDSTAR SERVICES
Practice address
180 Promenade Cir Ste 300
Sacramento, CA 95834-2952
Phone
(916) 903-2538
Fax
(916) 634-7701
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mr. Terrell Grant
Title
Director
Phone
(530) 902-6336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

180 Promenade Cir Ste 300
Sacramento, CA 95834-2952

Mailing address

180 Promenade Cir Ste 300
Sacramento, CA 95834-2952
Phone (916) 903-2538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1396466306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PROMENADE CIR STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342952",
            "telephone_number": "916-903-2538",
            "fax_number": "916-634-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROMENADE CIR STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342952",
            "telephone_number": "916-903-2538",
            "fax_number": "916-634-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSTAR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-902-6336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 28, 2023; 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.