Active NPI
Wood'S Retreat
- Assisted Living Facility
- Sacramento, CA
National Provider Identifier
1962749333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 340306720
- Legal business name
- WOOD'S RETREAT
- Practice address
- 7415 Henrietta Dr
Sacramento, CA 95822-5142 - Phone
- (916) 421-5845
- Fax
- (916) 880-5451
- NPI assigned
- Jan 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rema P Stout
- Title
- General Partner
- Phone
- (916) 421-5845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 340306720 | CA | Primary |
Addresses
Primary practice location
7415 Henrietta Dr
Sacramento, CA 95822-5142
Mailing address
7415 Henrietta Dr
Sacramento, CA 95822-5142
Phone (916) 421-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340306720 | Other | CA | CALIFORNIA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357344000000",
"number": "1962749333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7415 HENRIETTA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958225142",
"telephone_number": "916-421-5845",
"fax_number": "916-880-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 HENRIETTA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958225142",
"telephone_number": "916-421-5845",
"fax_number": "916-880-5451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOOD'S RETREAT",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-05",
"last_updated": "2013-01-05",
"status": "A",
"authorized_official_last_name": "STOUT",
"authorized_official_first_name": "REMA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "916-421-5845",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "340306720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA",
"identifier": "340306720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.