The Retreat at Greenhurst

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE RETREAT AT GREENHURST

Practice address

986 Greenhurst Way
Sacramento, CA 95831-2727

Phone

(916) 549-2724

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Antonette Tin

Title

Administrator

Phone

(916) 549-2724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1598527905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 GREENHURST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312727",
            "telephone_number": "916-549-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 GREENHURST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312727",
            "telephone_number": "916-549-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETREAT AT GREENHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "TIN",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-549-2724"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.