Organization Active NPI

Wood'S Retreat

  • Assisted Living Facility
  • Sacramento, CA
National Provider Identifier
1962749333
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
340306720 Issued in CA
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

Updated by the provider on Jan 5, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340306720OtherCACALIFORNIA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.