Healthcare Provider Details

I. General information

NPI: 1891643037
Provider Name (Legal Business Name): SACRAMENTO SUPPORTIVE HOUSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8921 ROBBINS RD
SACRAMENTO CA
95829-9485
US

IV. Provider business mailing address

8921 ROBBINS RD
SACRAMENTO CA
95829-9485
US

V. Phone/Fax

Practice location:
  • Phone: 916-888-8409
  • Fax:
Mailing address:
  • Phone: 916-888-8409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON JARRETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-888-8409