Organization Active NPI

Praise Care Home

  • Adult Care Home Facility
  • Sacramento, CA
National Provider Identifier
1407939176
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
340317699 Issued in CA
Legal business name
PRAISE CARE HOME
Practice address
4600 Parker Ave
Sacramento, CA 95820-4013
Phone
(916) 455-7116
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Gary Tateishi
Title
Administrator
Phone
(916) 455-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 340317699 CA Primary

Addresses

Primary practice location

4600 Parker Ave
Sacramento, CA 95820-4013

Mailing address

4600 Parker Ave
Sacramento, CA 95820-4013
Phone (916) 455-7116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1407939176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 PARKER AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204013",
            "telephone_number": "916-455-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 PARKER AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204013",
            "telephone_number": "916-455-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TATEISHI",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-455-7116"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "340317699",
            "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 Jun 25, 2008; 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.