The Sachiko Group, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE SACHIKO GROUP, INC

Practice address

3517 SW Wonderview Ave
Gresham, OR 97080-8574

Phone

(360) 644-9788

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Lynn EddyNPI 1841854601

Title

Executive Director

Phone

(360) 644-9788

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica Lynn Eddy

  • Case Manager/Care Coordinator
  • Gresham, OR
  • NPI 1841854601
  NPD Authorized official
• Beth Renah Caldwell

  • Case Manager/Care Coordinator
  • Gresham, OR
  • NPI 1720640923
  NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1760046528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 SW WONDERVIEW AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808574",
            "telephone_number": "360-644-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 SW WONDERVIEW AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808574",
            "telephone_number": "360-644-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SACHIKO GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-644-9788"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.