Active NPI
Martins' Childrens Achievement Place, Inc.
- Community/Behavioral Health Agency
- North Highlands, CA
National Provider Identifier
1487988663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCS 001391
- Legal business name
- MARTINS' CHILDRENS ACHIEVEMENT PLACE, INC.
- Practice address
- 5240 Jackson St
North Highlands, CA 95660-5003 - Phone
- (916) 338-1001
- NPI assigned
- Sep 22, 2009
- 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
- Mr. James Martin
- Title
- Executive Director
- Phone
- (916) 338-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCS 001391 | CA | Primary |
Addresses
Primary practice location
5240 Jackson St
North Highlands, CA 95660-5003
Mailing address
5240 Jackson St
North Highlands, CA 95660-5003
Phone (916) 338-1001
Other names 1
- Martins' Achievement Place, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Martins' Childrens Achievement Place Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Citrus Heights, CA
- NPI 1225346901
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Citrus Heights, CA
- NPI 1295901486
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Citrus Heights, CA
- NPI 1487778312
Locations
5240 Jackson St
North Highlands, CA 95660
Phone (916) 338-1001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1487988663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 JACKSON ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605003",
"telephone_number": "916-338-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 JACKSON ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605003",
"telephone_number": "916-338-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINS' CHILDRENS ACHIEVEMENT PLACE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "916-338-1001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "LCS 001391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Martins' Achievement Place, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.