NPIMap

Organization Active NPI

Paradise Oaks Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Citrus Heights, CA
National Provider Identifier
1811192123
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
340313103 Issued in CA
Legal business name
PARADISE OAKS YOUTH SERVICES
Practice address
7697 Madison Ave
Citrus Heights, CA 95610-7516
Phone
(916) 965-9469
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Jennifer Thompson
Title
Quality Assurance Director
Phone
(916) 967-6253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 340313103 CA Primary

Addresses

Primary practice location

7697 Madison Ave
Citrus Heights, CA 95610-7516

Mailing address

6060 Sunrise Vista Dr Ste 2100
Citrus Heights, CA 95610-7068
Phone (916) 967-6253

Other names 2

  • Madison Facility Other name
  • Paradise Oaks - Madison Other name

National Provider Directory

National Provider Directory
Tax ID family
Paradise Oaks Youth Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1811192123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SUNRISE VISTA DR STE 2100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107068",
            "telephone_number": "916-967-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7697 MADISON AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107516",
            "telephone_number": "916-965-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE OAKS YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "916-967-6253"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "340313103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Facility",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Paradise Oaks - Madison",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Paradise Oaks - Madison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.