Organization Active NPI

Hempstead Residential Care, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • Sacramento, CA
National Provider Identifier
1659624005
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
347-001-384 Issued in CA
Legal business name
HEMPSTEAD RESIDENTIAL CARE, INC.
Practice address
3105 Hempstead Rd
Sacramento, CA 95864-7707
Phone
(916) 485-7420
Fax
(916) 485-7410
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Mr. Frans Roodenburg
Title
Administrator
Phone
(916) 451-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 347-001-384 CA Primary

Addresses

Primary practice location

3105 Hempstead Rd
Sacramento, CA 95864-7707

Mailing address

PO Box 214664
Sacramento, CA 95821-0664
Phone (916) 451-0444

Other names 1

  • Hempstead Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1659624005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214664",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958210664",
            "telephone_number": "916-451-0444",
            "fax_number": "916-451-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 HEMPSTEAD RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647707",
            "telephone_number": "916-485-7420",
            "fax_number": "916-485-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMPSTEAD RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "ROODENBURG",
        "authorized_official_first_name": "FRANS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-451-0444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "347-001-384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hempstead Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.