Organization Active NPI

Housing Roommates Success Foundation Inc.

  • Community Health Worker
  • Sacramento, CA
National Provider Identifier
1720918683
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
HOUSING ROOMMATES SUCCESS FOUNDATION INC.
Practice address
3830 Watt Ave Ste 3
Sacramento, CA 95821-2669
Phone
(916) 862-8836
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Ms. Carolyn Tevis
Title
Ceo
Phone
(916) 862-8836

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary
Meals Provider 174200000X
Lodging Provider 177F00000X
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3830 Watt Ave Ste 3
Sacramento, CA 95821-2669

Mailing address

3830 Watt Ave Ste 3
Sacramento, CA 95821-2669
Phone (916) 862-8836

National Provider Directory

National Provider Directory

Locations

3830 Watt Ave
Ste 3
Sacramento, CA 95821
Phone (916) 775-5735

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1720918683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WATT AVE STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212669",
            "telephone_number": "916-862-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WATT AVE STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212669",
            "telephone_number": "916-862-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSING ROOMMATES SUCCESS FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "TEVIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-862-8836",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 May 21, 2026; 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.