Altas Place Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

LTC60084F Issued in CA

Legal business name

ALTAS PLACE INC

Practice address

7820 Fruitridge Rd
Sacramento, CA 95820-6743

Phone

(916) 381-1594

Fax

(916) 381-2138

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Miss Vickie Elaine Bratton

Title

Bookkeeper

Phone

(916) 381-1594

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1609910199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 FRUITRIDGE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206743",
            "telephone_number": "916-381-1594",
            "fax_number": "916-381-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 FRUITRIDGE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206743",
            "telephone_number": "916-381-1594",
            "fax_number": "916-381-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAS PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "916-381-1594",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "LTC60084F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "LTC60084F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.