Peaceful Place at Pocket Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEACEFUL PLACE AT POCKET INC

Practice address

865 Royal Green Ave
Sacramento, CA 95831-1518

Phone

(916) 549-2724

Fax

(916) 829-2737

NPI assigned

Jul 19, 2024

Last updated

Jul 19, 2024By 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

Antonette Tin

Title

President

Phone

(916) 549-2724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1902644255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 ROYAL GREEN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311518",
            "telephone_number": "916-549-2724",
            "fax_number": "916-829-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 ROYAL GREEN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311518",
            "telephone_number": "916-549-2724",
            "fax_number": "916-829-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PLACE AT POCKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "TIN",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-549-2724"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peach Tree Healthcare
• Alyssa Peacock

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.