Active NPI
St. Mary's Home II
- Adult Care Home Facility
- Sacramento, CA
National Provider Identifier
1700963394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- ST. MARY'S HOME II
- Practice address
- 2525 Kent Dr
Sacramento, CA 95821-6022 - Phone
- (916) 488-4459
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmelita P. Santos
- Title
- Licensee, Admistrator
- Phone
- (916) 488-4459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
2525 Kent Dr
Sacramento, CA 95821-6022
Mailing address
2525 Kent Dr
Sacramento, CA 95821-6022
Phone (916) 488-4459
National Provider Directory
National Provider Directory- Tax ID family
- St Mary's Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Sacramento, CA
- NPI 1679650253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214697600000",
"number": "1700963394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 KENT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958216022",
"telephone_number": "916-488-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 KENT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958216022",
"telephone_number": "916-488-4459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S HOME II",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2008-06-29",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "CARMELITA",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "LICENSEE, ADMISTRATOR",
"authorized_official_telephone_number": "916-488-4459",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"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 Jun 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.