Organization Active NPI

Sacramento Based Adult Day Service Inc.

Doing business as Kingdom Living ADHC

  • Adult Day Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1932645645
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SACRAMENTO BASED ADULT DAY SERVICE INC.
Doing business as
Kingdom Living ADHC
San Francisco CBAS
Practice address
620 Bercut Dr
Sacramento, CA 95811-0131
Phone
(916) 444-7700
Fax
(916) 444-7794
NPI assigned
Jan 19, 2017
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Cynthia Theresa Sundberg, MHCA
Title
Consultant
Phone
(619) 414-4530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

620 Bercut Dr
Sacramento, CA 95811-0131

Mailing address

620 Bercut Dr
Sacramento, CA 95811-0131
Phone (916) 440-7700

Other practice location 1

1550 Steiner St
San Francisco, CA 94115-3526
Phone (310) 770-0366

Other names 2

  • Kingdom Living ADHC Doing business as
  • San Francisco CBAS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingdom Living Adhc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2730 Florin Rd
Sacramento, CA 95822
Phone (916) 391-5591

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1932645645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BERCUT DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110131",
            "telephone_number": "916-440-7700",
            "fax_number": "916-444-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BERCUT DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110131",
            "telephone_number": "916-444-7700",
            "fax_number": "916-444-7794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Steiner St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153526",
            "country_code": "US",
            "telephone_number": "310-770-0366",
            "fax_number": "916-444-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRAMENTO BASED ADULT DAY SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "619-414-4530",
        "authorized_official_credential": "MHCA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingdom Living ADHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingdom Living ADHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Francisco CBAS",
            "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 Jan 31, 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.