Active NPI
Cathedral Pioneer Church Homes No Two
- Skilled Nursing Facility
- Sacramento, CA
National Provider Identifier
1518962893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100000072
- Legal business name
- CATHEDRAL PIONEER CHURCH HOMES NO TWO
- Doing business as
- PIONEER HOUSE
- Practice address
- 415 P St
Sacramento, CA 95814-5300 - Phone
- (916) 442-4906
- Fax
- (916) 442-8665
- NPI assigned
- Jun 14, 2005
- 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
- Stuart Hartman
- Title
- V.P. of Operations
- Phone
- (562) 257-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100000072 | CA | Primary |
Addresses
Primary practice location
415 P St
Sacramento, CA 95814-5300
Mailing address
415 P St
Sacramento, CA 95814-5300
Phone (916) 442-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518962893 | Medicaid | CA |
Other names 1
- PIONEER HOUSE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410825600000",
"number": "1518962893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 P ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145300",
"telephone_number": "916-442-4906",
"fax_number": "916-442-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 P ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145300",
"telephone_number": "916-442-4906",
"fax_number": "916-442-8665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHEDRAL PIONEER CHURCH HOMES NO TWO",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2014-09-16",
"status": "A",
"authorized_official_last_name": "HARTMAN",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "V.P. OF OPERATIONS",
"authorized_official_telephone_number": "562-257-5100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "100000072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518962893",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PIONEER HOUSE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.