Organization Active NPI

Clean Comfort Transtional House LLC

  • Supports Brokerage Agency
  • Sacramento, CA
National Provider Identifier
1871386698
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
CLEAN COMFORT TRANSTIONAL HOUSE LLC
Doing business as
RESILIENT CO-LIVING
RESILIENT RECOVERY HOUSING
Practice address
2942 38TH St
Sacramento, CA 95817-2915
Phone
(916) 407-0344
NPI assigned
May 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Mrs. Priscilla Ann Agbunag
Title
Managing Partner
Phone
(415) 606-6772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

2942 38TH St
Sacramento, CA 95817-2915

Mailing address

1401 21St St Ste R
Sacramento, CA 95811-5226
Phone (916) 407-0344

Other names 2

  • RESILIENT CO-LIVING Doing business as
  • RESILIENT RECOVERY HOUSING 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": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1871386698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "916-407-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 38TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172915",
            "telephone_number": "916-407-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN COMFORT TRANSTIONAL HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-10",
        "status": "A",
        "authorized_official_last_name": "AGBUNAG",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "415-606-6772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESILIENT CO-LIVING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RESILIENT RECOVERY HOUSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2025; 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.