NPIMap

Organization Active NPI

Brandt Group Homes, Inc

Doing business as Jean Martin Home #1

  • Intellectual Disabilities Intermediate Care Facility
  • North Highlands, CA
National Provider Identifier
1548308281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
BRANDT GROUP HOMES, INC
Doing business as
Jean Martin Home #1
Practice address
5421 Harrison St
North Highlands, CA 95660-5042
Phone
(916) 331-1757
Fax
(916) 331-1165
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Vicki Ann Brandt
Title
Owner
Phone
(916) 331-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

5421 Harrison St
North Highlands, CA 95660-5042

Mailing address

5421 Harrison St
North Highlands, CA 95660-5042
Phone (916) 331-1757

Other names 1

  • Jean Martin Home #1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548308281. Details of each certification follow.

  • CCN 05G294 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G294

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Jean Martin Home #1
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 6, 1988
Last certification
Apr 8, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
5421 Harrison Street
North Highlands, CA 95660

National Provider Directory

National Provider Directory
Tax ID family
Brandt Group Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548308281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 HARRISON ST",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605042",
            "telephone_number": "916-331-1757",
            "fax_number": "916-331-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 HARRISON ST",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605042",
            "telephone_number": "916-331-1757",
            "fax_number": "916-331-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT GROUP HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-331-1757",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jean Martin Home #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Highlands, CA

Sources for this page

Verify at the official NPI Registry.