Organization Active NPI

Ileihno Bopachemihn, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1669976619
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ILEIHNO BOPACHEMIHN, INC.
Practice address
2312 Pamela Lane
Sacramento, CA 95825
Phone
(916) 692-8172
Fax
(916) 692-8178
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Mary Kay Curtis
Title
Executive Director
Phone
(916) 296-4522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

2312 Pamela Lane
Sacramento, CA 95825

Mailing address

4343 Marconi Avenue
Suite 6
Sacramento, CA 95821-4343
Phone (916) 571-5060

National Provider Directory

National Provider Directory

Locations

4343 Marconi Ave
Ste 6
Sacramento, CA 95821

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1669976619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 MARCONI AVENUE",
            "address_2": "SUITE 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214343",
            "telephone_number": "916-571-5060",
            "fax_number": "855-447-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 PAMELA LANE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-692-8172",
            "fax_number": "916-692-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILEIHNO BOPACHEMIHN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-296-4522"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2018; 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.