Organization Active NPI

S.H.C.C. , Inc.

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1689755456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
S.H.C.C. , INC.
Practice address
4700 Elvas Ave
Sacramento, CA 95819-2250
Phone
(916) 454-4700
Fax
(916) 451-7962
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Lund
Title
President
Phone
(805) 565-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

4700 Elvas Ave
Sacramento, CA 95819-2250

Mailing address

4700 Elvas Ave
Sacramento, CA 95819-2250
Phone (916) 454-4700

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05305IMedicaidCA

Other names 1

  • SHERWOOD HEALTHCARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

4700 Elvas Ave
Sacramento, CA 95819
Phone (916) 454-4700

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689755456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192250",
            "telephone_number": "916-454-4700",
            "fax_number": "916-451-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192250",
            "telephone_number": "916-454-4700",
            "fax_number": "916-451-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.H.C.C. , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-565-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05305I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERWOOD HEALTHCARE CENTER",
            "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 Aug 22, 2020; 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.