Organization Active NPI

St. Mary's Home II

  • Adult Care Home Facility
  • Sacramento, CA
National Provider Identifier
1700963394
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Jun 29, 2008

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)CodeLicenseStatePrimary
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 Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.