PRESIDENT JOHN ADAMS MANOR III (NPI# 1265658892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265658892 |
| Entity Type | Organization |
| Organization Name | PRESIDENT JOHN ADAMS MANOR III |
| Practice Address |
5701 Falconer Way Sacramento CA 95824-1517 |
| Practice Telephone | 9164173481 |
| Practice Fax Number | 9169274370 |
| Mailing Telephone | 9164173481 |
| Mailing Fax Number | 9169274370 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORI WORTHEN (CFO) |
| Authorized Official Telephone | 9164173481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60643F | 05 |
| Street Address |
5701 FALCONER WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95824-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701422 | Nhlanhla Moyo | Registered Nurse | 3301 37th Street, Sacramento, CA 95824 | 2017-10-23 |
| 1275069650 | Tacoquya Brumfield | Behavior Technician | 5100 South West Ave Apt D, Sacramento, CA 95824 | 2017-05-04 |
| 1639485758 | Louis Alexander Rosales | Physician Assistant | 5385 Frnaklin Blvd, Ste K, Sacramento, CA 95824 | 2010-08-26 |
| 1215182878 | Nancie A. Kenton | Psychologist | 5735 47th Ave., Sacramento, CA 95824 | 2008-11-24 |
| 1447400049 | Jasmine Hernandez | Counselor | 4600 46th Ave., Sacramento, CA 95824 | 2008-09-19 |
| 1023152592 | Michelle Monic Villavicencio | Case Manager/Care Coordinator | 4500 47th Avenue, Suite 5, Sacramento, CA 95824 | 2007-02-17 |
| 1457362584 | Myron Robert Powell | Dentist | 4500 47th Ave, Ste 1, Sacramento, CA 95824 | 2006-08-11 |
| 1629481205 | Ignacio Fernandez | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824 | 2014-06-11 |
| 1073645859 | Marneshia Leandia Hart | Counselor | 4600 47th Ave, Suite 111, Sacramento, CA 95824 | 2007-03-09 |
| 1386772473 | Janice Sheree Hunter | Marriage & Family Therapist | 4600 47th Ave Ste 111, Sacramento, CA 95824 | 2007-03-01 |
| Find all providers in zip 95824 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1265658421 | Beyond Assisted Living | Intermediate Care Facility, Mentally Retarded | 2221 Fair Oaks Blvd, Sacramento, CA 95825-5501 | 2007-04-17 |
| 1770610438 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 8268 La Almendra Way, Sacramento, CA 95823-5649 | 2007-02-28 |
| 1598892648 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 60 Brentford Cir, Sacramento, CA 95823-5364 | 2007-02-27 |
| 1083741136 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 7893 Farnell Way, Sacramento, CA 95823-4420 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| 1255974275 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 932 S Chantilly St, Anaheim, CA 92806-4814 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95824 |
Please comment or provide details below to improve the information on PRESIDENT JOHN ADAMS MANOR III.
| 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.