Provider Demographics
NPI:1346422060
Name:SARATOGA HOUSE
Entity type:Organization
Organization Name:SARATOGA HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-252-6845
Mailing Address - Street 1:1700 2ND ST STE 350
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2409
Mailing Address - Country:US
Mailing Address - Phone:707-252-6845
Mailing Address - Fax:
Practice Address - Street 1:3912 STOVER ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2327
Practice Address - Country:US
Practice Address - Phone:707-252-8914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYBERRY, INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-04
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC60498FMedicaid