DIGNITY HEALTH (NPI# 1104813906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104813906 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH |
| Other Organization Name | BRUCEVILLE TERRACE |
| Practice Address |
8151 Bruceville Rd Sacramento CA 95823 |
| Mailing Address |
8151 Bruceville Rd Sacramento CA 95823-2300 |
| Practice Telephone | 9164236000 |
| Practice Fax Number | 9166897742 |
| Mailing Telephone | 9164236000 |
| Mailing Fax Number | 9166897742 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | MR. JOSEPH NOCIE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9164236100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030000064 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55344G | 05 |
| Other Name | Type Code |
|---|---|
| Bruceville Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065445 | Dignity Health | Clinic/Center | 4975 N Dysart Rd Ste 100, Litchfield Park, AZ 85340-3087 | 2020-02-17 |
| 1609408665 | Dignity Health | Clinic/Center | 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 | 2020-02-07 |
| 1134687734 | Dignity Health | Clinic/Center | 2340 Liberty Pkwy Ste 200, Red Bluff, CA 96080-4350 | 2019-03-04 |
| 1528560794 | Dignity Health | Community/Behavioral Health | 1211 S Hobart Blvd, Los Angeles, CA 90006-3113 | 2018-03-05 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1073942009 | Dignity Health | Clinic/Center | 1900 Railroad Ave, Redding, CA 96001-1802 | 2013-11-12 |
| 1992131734 | Dignity Health | General Acute Care Hospital | 7300 N 99th Ave, Glendale, AZ 85305-1400 | 2013-09-25 |
| 1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
| 1922276237 | Dignity Health | Hospice Care, Community Based | 1600 D St, Suite 202, Bakersfield, CA 93301-5329 | 2008-02-20 |
| 1780807248 | Dignity Health | General Acute Care Hospital | 2102 N California St, Stockton, CA 95204-6031 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH | 185 Berry St Ste 300, San Francisco, CA 94107-1773 |
| New York State Corporations | DIGNITY HEALTH | 99 Washington Ave Suite 1008, Albany, Ny 12260 |
| Colorado Business Entities | Dignity Health at Home, LLC | 12745 Utica Circle, Broomfield, CO 80020 |
| System for Award Management (SAM) Entities | DIGNITY HEALTH FOUNDATION | 185 Berry Street, Suite 300, San Francisco, CA 94107-1773 |
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Colorado Business Entities | Dignity Health Purchasing Network, LLC | 198 Inverness Drive West, Englewood, CO 80112 |
| System for Award Management (SAM) Entities | DIGNITY HEALTHCARE, LLC | 535 N Park St, Uvalde, TX 78801-4363 |
| Street Address |
8151 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275655235 | Jackie M Tafoya-espinoza | Pharmacist | 8151 Bruceville Rd, Sacramento, CA 95823-2300 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588780589 | Cottage Park Place L.p. | Skilled Nursing Facility | 2200 Gramercy Dr, Sacramento, CA 95825-0308 | 2007-03-21 |
| 1134261142 | Covenant Care California, LLC | Skilled Nursing Facility | 6821 24th Street, Sacramento, CA 95822-4037 | 2007-02-13 |
| 1689755456 | S.h.c.c., Inc. | Skilled Nursing Facility | 4700 Elvas Ave, Sacramento, CA 95819-2250 | 2006-10-18 |
| 1629158597 | C.o.n.r., Inc. | Skilled Nursing Facility | 4635 College Oak Dr, Sacramento, CA 95841-4516 | 2006-10-16 |
| 1952491862 | W.h.c., Inc | Skilled Nursing Facility | 2240 Northrop Ave, Sacramento, CA 95825-7408 | 2006-10-13 |
| 1508959214 | Jdl Healthcare Inc | Skilled Nursing Facility | 2257 Fair Oaks Blvd, Sacramento, CA 95825-5501 | 2006-10-02 |
| 1760432447 | Sutter Health Sacramento Sierra Region | Skilled Nursing Facility | 2600 L St, Sacramento, CA 95816-5612 | 2006-05-11 |
| 1538131032 | Sacramento Operating Company Lp | Skilled Nursing Facility | 7400 24th St, Sacramento, CA 95822-5350 | 2006-02-07 |
| 1396720892 | V S N F Inc | Skilled Nursing Facility | 2120 Stockton Blvd, Sacramento, CA 95817-1337 | 2005-12-07 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.