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1245053057 NPI number — SACRAMENTO CHILDREN'S HOME

NPI Number: 1245053057
Health Care Provider/Practitioner: SACRAMENTO CHILDREN'S HOME

Information about “1245053057” NPI (SACRAMENTO CHILDREN'S HOME) exists in 1245053057 in HTML format HTML  |  1245053057 in plain Text format TXT  |  1245053057 in PDF (Portable Document Format) PDF  |  1245053057 in an XML format XML  formats.

NPI Number : 1245053057 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245053057",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SACRAMENTO CHILDREN'S HOME",
    "ParentOrgTIN": null,
    "OrgName": "SACRAMENTO CHILDREN'S HOME",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2750 SUTTERVILLE ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-452-3981",
    "MailingAddressFaxNumber": "916-457-3128",
    "FirstLinePracticeLocationAddress": "4343 WILLIAMSBOURGH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95823-2006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-452-3981",
    "PracticeLocationAddressFaxNumber": "916-451-5031",
    "EnumerationDate": "11/01/2024",
    "LastUpdateDate": "03/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCARTY",
    "AuthorizedOfficialFirstName": "CHRIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF MENTAL HEALTH",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "916-290-8101",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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