BRANDT GROUP HOMES INC NPI 1912047556

NPI Information

  • NPI: 1912047556
  • Provider Name: BRANDT GROUP HOMES INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: JEAN MARTIN HOME #2
  • CLIA Number: 05D2065858
  • Address: 7357 WOODRUFF WAY
    CITRUS HEIGHTS, CA
    ZIP 95621
  • Phone: (916) 729-7288

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NPI Details

BRANDT GROUP HOMES INC is an intermediate care facility mentally retarded in Citrus Heights, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BRANDT GROUP HOMES INC NPI is 1912047556. The provider is registered as an organization entity type.
The provider Is Doing Business As Jean Martin Home #2.

The provider's business location address is:

7357 WOODRUFF WAY
CITRUS HEIGHTS, CA
ZIP 95621-349
Phone: (916) 729-7288

The provider's authorized official is Vicki Ann Brandt .
The authorized official title is Owner and has the following contact phone number (916) 331-1757.

The CLIA number assigned to this NPI record is 05D2065858 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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