Organization Active NPI

SJ Summerlyn, Inc

  • In Home Supportive Care Agency
  • Simi Valley, CA
National Provider Identifier
1831906619
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SJ SUMMERLYN, INC
Practice address
3446 Aspen St
Simi Valley, CA 93065-4985
Phone
(805) 815-2909
NPI assigned
Dec 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Sacha Butts
Title
Principle Operator
Phone
(805) 815-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3446 Aspen St
Simi Valley, CA 93065-4985

Mailing address

3446 Aspen St
Simi Valley, CA 93065-4985
Phone (805) 815-2909

Other names 1

  • Right At Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1831906619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 ASPEN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654985",
            "telephone_number": "805-815-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 ASPEN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654985",
            "telephone_number": "805-815-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ SUMMERLYN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "SACHA",
        "authorized_official_title_or_position": "PRINCIPLE OPERATOR",
        "authorized_official_telephone_number": "805-815-2909"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.