<Unavail>
LBN: Sacredme
<Unavail> is an health care organization with primary practice located at 623 Shaddick Dr , Antioch CA 94509-5044. The organization recently has 5 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Birthing, Hospitals / Religious Nonmedical Health Care Institution, Managed Care Organizations / Point of Service. Hospitals / Religious Nonmedical Health Care Institution is the primary health care specialty.
Sacredme can be contacted via phone (510) 691-5169, or through Adedapoidle Tyehimba-Ford, Oloya P via phone (925) 250-5400.
Contact Information
Primary practice address
623 Shaddick Dr
Antioch CA 94509-5044
Phone: (510) 691-5169
Fax:
Website:
Authorized official contact:
Name: Adedapoidle Tyehimba-Ford, Oloya P DOULA, CEO
Phone: (925) 250-5400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Voluntary or Charitable | 251V00000X | California | |
| Agencies / In Home Supportive Care | 253Z00000X | California | |
| Ambulatory Health Care Facilities / Birthing | 261QB0400X | California | |
| Hospitals / Religious Nonmedical Health Care Institution | 282J00000X | California | |
| Managed Care Organizations / Point of Service | 305S00000X | California |
Profile Details
| NPI number | 1639689516 |
|---|---|
| LBN Legal business name | Sacredme |
| DBA Doing business as | <Unavail> |
| Authorized official | Adedapoidle Tyehimba-Ford, Oloya P DOULA, CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2017 |
| Last updated | Oct 5th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639689516 | NPPES |
| California | MEDICAID | 99501 | |
| California | MEDICAID | 99502 | |
| California | MEDICAID | 99499 |
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