NPIMap

Organization Active NPI

Care Administration and Management Professionals, Inc.

Doing business as Sundale House

  • Intellectual Disabilities Intermediate Care Facility
  • Dublin, CA
National Provider Identifier
1578605630
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC60892F Issued in CA
Legal business name
CARE ADMINISTRATION AND MANAGEMENT PROFESSIONALS, INC.
Doing business as
Sundale House
Practice address
6777 Amador Valley Blvd
Dublin, CA 94568-2001
Phone
(925) 556-0782
Fax
(925) 560-0125
NPI assigned
Feb 13, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Daniel James Fisher, M.ED.
Title
President
Phone
(925) 560-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC60892F CA Primary

Addresses

Primary practice location

6777 Amador Valley Blvd
Dublin, CA 94568-2001

Mailing address

P.O. Box 112
Dublin, CA 94568
Phone (925) 560-0124

Other identifiers 1

IdentifierTypeStateIssuer
LTC60892FMedicaidCA

Other names 1

  • Sundale House 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 1578605630. Details of each certification follow.

  • CCN 55G241 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G241

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
SUNDALE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 15, 1999
Last certification
Oct 31, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
6777 Amador Valley Boulevard
Dublin, CA 94568

National Provider Directory

National Provider Directory
Tax ID family
Care Administration and Management Professionals Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1578605630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 112",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "925-560-0124",
            "fax_number": "925-560-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 AMADOR VALLEY BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682001",
            "telephone_number": "925-556-0782",
            "fax_number": "925-560-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADMINISTRATION AND MANAGEMENT PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-560-0124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC60892F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60892F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundale House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.