SACRAMENTO CHILDREN'S HOME (NPI# 1588745764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588745764 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO CHILDREN'S HOME |
| Practice Address |
2750 Sutterville Rd Sacramento CA 95820-1024 |
| Practice Telephone | 9164523981 |
| Practice Fax Number | 9164545031 |
| Mailing Telephone | 9164523981 |
| Mailing Fax Number | 9164545031 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | DAVID BAKER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9164523981 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427325240 | Sacramento Children's Home | Clinic/Center | 2751 Wilmington Ave, Sacramento, CA 95820 | 2011-11-22 |
| 1518422716 | Sacramento Children's Home | Community/Behavioral Health | 2750 Sutterville Road, Sacramento, CA 95820 | 2019-02-01 |
| 1629152715 | Sacramento Children's Home | Clinic/Center | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2006-10-25 |
| 1174604367 | Sacramento Children's Home | Clinic/Center | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2006-10-17 |
| Street Address |
2750 SUTTERVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95820-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104848621 | Christopher Gregg Mccarty | Marriage & Family Therapist | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2006-07-24 |
| 1386258788 | Bao Vang | Student in an Organized Health Care Education/Training Program | 2750 Sutterville Rd, Sacramento, CA 95820-1093 | 2020-09-02 |
| 1134731722 | Mikela Goodwin | Case Manager/Care Coordinator | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2020-08-17 |
| 1538787809 | Nichole Renee Densie Creer | Community Health Worker | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2020-07-13 |
| 1376167288 | Veronica Villalobos | Counselor | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2020-06-05 |
| 1871127266 | Megumi Caitlyn Kato | Case Manager/Care Coordinator | 2750 Sutterville Rd, Sacramento, CA 95820-1093 | 2020-02-25 |
| 1154961043 | Lita Darnell Rose | Marriage & Family Therapist | 2750 Sutterville Rd, Sacramento, CA 95820-1093 | 2020-01-08 |
| 1962048322 | Latara Trenee Cunningham | Case Manager/Care Coordinator | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2019-11-20 |
| 1609418490 | Sholannda Williams | Counselor | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2019-10-13 |
| 1104477611 | Catherine Robertson | Case Manager/Care Coordinator | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
| 1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
| 1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
| 1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
| 1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
| 1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
| Find all providers in zip 95820 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976619 | Ileihno Bopachemihn, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2312 Pamela Lane, Sacramento, CA 95825 | 2018-03-22 |
| 1154782977 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 8529 Florin Rd, Sacramento, CA 95828-2612 | 2016-03-08 |
| 1295893014 | Mountain Valley Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6171 Bradshaw Rd, Sacramento, CA 95829-9334 | 2006-12-05 |
| 1689732406 | Mountain Valley Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9200 Sweet Acacia Way, Sacramento, CA 95829-1130 | 2006-12-05 |
| 1609074582 | River Oak Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 5404 Laurel Hills Dr, Sacramento, CA 95841-3106 | 2007-07-03 |
| 1790807345 | River Oak Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 5404 Laurel Hills Dr, Sacramento, CA 95841-3106 | 2007-04-04 |
| 1013046739 | River Oak Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 5445 Laurel Hills Dr, Sacramento, CA 95841-3105 | 2007-03-06 |
| 1962560771 | Mountain Valley Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7818 Bar Du Ln, Sacramento, CA 95829-9469 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95820 |
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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.