G STREET HOUSE BOARD & CARE, INC (NPI# 1164540381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164540381 |
| Entity Type | Organization |
| Organization Name | G STREET HOUSE BOARD & CARE, INC |
| Other Organization Name | ADULT RESIDENTIAL CARE HOME |
| Practice Address |
1700 G St Sacramento CA 95814-2119 |
| Practice Telephone | 9164472748 |
| Mailing Telephone | 9164472748 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NELLIE MERCADO GAVINO (LICENSEE ADMINISTOR) |
| Authorized Official Telephone | 9164472748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Adult Residential Care Home | Other Name - Individual/Organization |
| Street Address |
1700 G ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95814-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1306269667 | First Advocate Home Care | In Home Supportive Care | 1215 K Street, 17th Floor, Sacramento, CA 95814 | 2014-01-22 |
| 1063752350 | Brian C. Steele Dds A Professional Corporation | Dentist | 1105 E Street, Sacramento, CA 95814 | 2013-02-22 |
| 1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
| 1407117823 | Richard Lee Bauer | Internal Medicine | 651 I St., Sacramento, CA 95814 | 2012-06-01 |
| 1851669949 | Heaaring Healthcare Provider of California | Audiologist | One Capitol Mall, Suite 320, Sacramento, CA 95814 | 2011-12-05 |
| 1114254935 | Robert D Canning | Psychologist | 501 J Street, Suite 530, California Department of Corrections & Rehabilitation, Sacramento, CA 95814 | 2009-11-16 |
| 1407035488 | Donald Herbert Hodges | Case Manager/Care Coordinator | 1420 E Street Apt # B, Sacramento, CA 95814 | 2007-10-26 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| Find all providers in zip 95814 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178493 | Compassion Valley LLC | Community Based Residential Treatment Facility, Mental Illness | 6110 Garfield Ave, Sacramento, CA 95841-2009 | 2019-11-12 |
| 1376199232 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9847 Folsom Blvd, Sacramento, CA 95827-1328 | 2019-08-15 |
| 1497926505 | Gifted Healing Center Inc | Community Based Residential Treatment Facility, Mental Illness | 2251 Florin Rd Ste 133, 7654 22nd Street House of Umoja/rafa Porject, Sacramento, CA 95822-4491 | 2008-03-17 |
| 1033318878 | Turning Point Community Programs | Community Based Residential Treatment Facility, Mental Illness | 5550 Meadow Park Way, Sacramento, CA 95823-5117 | 2007-07-12 |
| 1689876955 | Transit and Living & Community Support | Community Based Residential Treatment Facility, Mental Illness | 1816 O St, Sacramento, CA 95814-6194 | 2007-05-31 |
| 1548389364 | St. Therese's Haven | Community Based Residential Treatment Facility, Mental Illness | 7940 Golden Field Way, Sacramento, CA 95823-5209 | 2007-03-29 |
| 1922176981 | Turning Point Crisis Residential Program | Community Based Residential Treatment Facility, Mental Illness | 4801 34th St, Sacramento, CA 95820-4849 | 2006-11-30 |
| 1720165368 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4256 Fruitridge Rd, Sacramento, CA 95820-5047 | 2006-11-01 |
| 1821105115 | Famille/famille, Inc | Community Based Residential Treatment Facility, Mental Illness | 6431 Hogan Dr, Sacramento, CA 95822-3840 | 2006-08-24 |
| 1063034130 | Turning Point Community Programs | Community Based Residential Treatment Facility, Mental Illness | 3440 Viking Dr, Sacramento, CA 95827-2844 | 2020-05-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95814 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.