SUTHERLAND HOUSE
NPI 1073018164
Intermediate Care Facility, Intellectual Disabilities in Concord, CA

Active since March 29, 2018
5166 SUTHERLAND DR, CONCORD, CA 94521(925) 827-2700(925) 822-3778 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About SUTHERLAND HOUSE

This page provides the complete NPI Profile along with additional information for Sutherland House, a provider established in Concord, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1073018164 assigned on March 2018. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Sutherland House. The authorized official of this NPI record is Caryn Grace T Facunla (Program Director)

NPI
1073018164 Verify this NPI
Provider Legal Name
TLC HOMES LLC
Other Organization Name
SUTHERLAND HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5166 SUTHERLAND DR CONCORD, CA 94521
Location Phone
(925) 827-2700
Location Fax
(925) 822-3778
Mailing Address
3350 CLAYTON RD STE 101 CONCORD, CA 94519
Mailing Phone
(925) 446-4431
Mailing Fax
(925) 822-3778
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2018
Last Update Date
03-29-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License State
CA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARYN GRACE T FACUNLA

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(510) 305-3956

Reviews for SUTHERLAND HOUSE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Intermediate Care Facility, Intellectual Disabilities
5166 SUTHERLAND DR
CONCORD, CA 94521
Intermediate Care Facility, Intellectual Disabilities
5166 SUTHERLAND DR
CONCORD, CA 94521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073018164, enumerated as an "organization" on March 29, 2018.

The provider is located at 5166 SUTHERLAND DR CONCORD, CA 94521 and the phone number is (925) 827-2700.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.