Healthcare Provider Details

I. General information

NPI: 1780512103
Provider Name (Legal Business Name): COMMITTED HEARTS RESIDENTIAL HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WAPELLO CIR
SACRAMENTO CA
95835-1866
US

IV. Provider business mailing address

11 DUNFIRTH DR
HAYWARD CA
94542-7942
US

V. Phone/Fax

Practice location:
  • Phone: 925-470-5010
  • Fax:
Mailing address:
  • Phone: 614-975-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KWAME A FIELDS SR.
Title or Position: CHIEF OPERATING OFFICER
Credential: CISSP
Phone: 614-975-5257