NPIMap

Organization Active NPI

Compassion Pathway Behavioral Health LLC

Doing business as Cirby Ranch SRF

  • Mental Illness Community Based Residential Treatment Facility
  • Roseville, CA
National Provider Identifier
1659022689
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMPASSION PATHWAY BEHAVIORAL HEALTH LLC
Doing business as
Cirby Ranch SRF
Practice address
1085 Sandringham Way
Roseville, CA 95661-5321
Phone
(916) 870-9676
NPI assigned
Jan 11, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Ifeanyi EzeaniNPI 1598447542
Title
Chief Executive Officer
Phone
(916) 870-9676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1085 Sandringham Way
Roseville, CA 95661-5321

Mailing address

5410 White Lotus Way
Elk Grove, CA 95757-4354
Phone (916) 870-9676

Other names 1

  • Cirby Ranch SRF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compassion Pathway Behavioral Health LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1659022689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 WHITE LOTUS WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574354",
            "telephone_number": "916-870-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 SANDRINGHAM WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615321",
            "telephone_number": "916-870-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION PATHWAY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "EZEANI",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-870-9676"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cirby Ranch SRF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cirby Ranch SRF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.