Healthcare Provider Details

I. General information

NPI: 1588745764
Provider Name (Legal Business Name): SACRAMENTO CHILDREN'S HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 SUTTERVILLE RD
SACRAMENTO CA
95820-1024
US

IV. Provider business mailing address

2750 SUTTERVILLE RD
SACRAMENTO CA
95820-1024
US

V. Phone/Fax

Practice location:
  • Phone: 916-452-3981
  • Fax: 916-457-3128
Mailing address:
  • Phone: 916-452-3981
  • Fax: 916-457-3128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER GREGG MCCARTY
Title or Position: DIRECTOR OF MENTAL HEALTH
Credential:
Phone: 916-290-8101