Provider Demographics
NPI:1104825975
Name:SAINT CLAIRE'S INC
Entity Type:Organization
Organization Name:SAINT CLAIRE'S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-390-6914
Mailing Address - Street 1:6248 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2733
Mailing Address - Country:US
Mailing Address - Phone:916-392-4440
Mailing Address - Fax:916-392-1728
Practice Address - Street 1:6248 66TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2733
Practice Address - Country:US
Practice Address - Phone:916-392-4440
Practice Address - Fax:916-392-1728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA030000167314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC55160FMedicaid
CA555160Medicare Oscar/Certification