PRAISE CARE HOME
NPI 1407939176
Custodial Care Facility - Adult Care Home in Sacramento, CA

Active since October 24, 2006
4600 PARKER AVE, SACRAMENTO, CA 95820(916) 455-7116 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About PRAISE CARE HOME

This page provides the complete NPI Profile along with additional information for Praise Care Home, a provider established in Sacramento, California operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1407939176 assigned on October 2006. The practitioner's primary taxonomy code is 311ZA0620X with license number 340317699 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Gary Tateishi (Administrator)

NPI
1407939176 Verify this NPI
Provider Name
PRAISE CARE HOME
Entity Type
Organization
Location Address
4600 PARKER AVE SACRAMENTO, CA 95820
Location Phone
(916) 455-7116
Mailing Address
4600 PARKER AVE SACRAMENTO, CA 95820
Mailing Phone
(916) 455-7116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
06-25-2008
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
340317699
License State
CA
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

GARY TATEISHI

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(916) 455-7116

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407939176, enumerated as an "organization" on October 24, 2006.

The provider is located at 4600 PARKER AVE SACRAMENTO, CA 95820 and the phone number is (916) 455-7116.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.