GRASSROOTS HEALTHCARE FOUNDATION (NPI# 1215578885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215578885 |
| Entity Type | Organization |
| Organization Name | GRASSROOTS HEALTHCARE FOUNDATION |
| Practice Address |
138 S Orchard Ave Vacaville CA 95688-3636 |
| Mailing Address |
732 Placer Cir Vacaville CA 95687-7882 |
| Practice Telephone | 7077240616 |
| Practice Fax Number | 7078981399 |
| Mailing Telephone | 7077240616 |
| Mailing Fax Number | 7078981399 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | MRS. JENNIFER CORTELLESSA (RN) |
| Authorized Official Telephone | 2108850014 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | GRASSROOTS HEALTHCARE FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
138 S ORCHARD AVE |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126374 | Jerry Michael Cline | Family Medicine | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2005-12-30 |
| 1902167455 | Kathy Marie Martinez | Nurse Practitioner | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2012-05-31 |
| 1811257157 | Alpha Pregnancy Resource Center | Clinic/Center | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2012-05-21 |
| 1912265919 | Paula Scott Baum | Registered Nurse | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2012-04-26 |
| 1134491392 | Carrie Christine Voyce | Nurse Practitioner | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2012-02-03 |
| 1306011374 | Solano Alpha Crisis Pregnancy Center | Clinic/Center | 138 S Orchard Ave, Vacaville, CA 95688-3636 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1598226870 | James Ward Delameter | Voluntary or Charitable | 303 Dry Creek Rd, Healdsburg, CA 95448-9705 | 2019-03-28 |
| 1639635154 | Love Focus International Association Lfia | Voluntary or Charitable | 372 Buena Vista Ct, Merced, CA 95348-3033 | 2019-02-20 |
| 1699242495 | Sow A Seed Community Foundation | Voluntary or Charitable | 42 W 8th St, Tracy, CA 95376-4123 | 2018-10-30 |
| 1467927855 | Priscilla Hebert | Voluntary or Charitable | 1488 Sunset Cliffs Blvd, San Diego, CA 92107-3848 | 2018-10-11 |
| 1164907234 | Impact Recovery & Psychotherapy | Voluntary or Charitable | 28202 Cabot Rd Ste 373, Laguna Niguel, CA 92677-1222 | 2018-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.