AT LAST BRA AND LINGERIE BOUTIQUE LLC (NPI# 1245698984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245698984 |
Entity Type | Organization |
Organization Name | AT LAST BRA AND LINGERIE BOUTIQUE LLC |
Other Organization Name | AT LAST... BRAS, A MASTECTOMY BOUTIQUE |
Practice Address |
1325 Howe Ave Suite 100 Sacramento CA 95825-3364 |
Practice Telephone | 9164809501 |
Practice Fax Number | 5103509166 |
Mailing Telephone | 9164809501 |
Mailing Fax Number | 5103509166 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2018-09-19 |
Authorized Official Name | BENITA LEICHELLE KIMBALL (OWNER) |
Authorized Official Telephone | 9164809501 |
Authorized Official Credential | CMF |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | C52184 | CA | Suppliers |
Other Name | Type Code |
---|---|
AT LAST... BRAS, A MASTECTOMY BOUTIQUE | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1510 Poole Blvd Ste 104, Yuba City, CA 959932665 | 9164809501 | 5103509166 |
Street Address |
1325 HOWE AVE SUITE 100 |
City | SACRAMENTO |
State | CA |
Zip Code | 95825-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780746297 | Deborah Renee Powell | Audiologist | 1325 Howe Ave, Suite 101, Sacramento, CA 95825-3364 | 2006-12-14 |
1780249383 | Mansimran Sandhu | Behavior Technician | 1325 Howe Ave, Sacramento, CA 95825-3364 | 2019-05-08 |
1295239390 | George Kenyon Shabazz | Behavior Technician | 1325 Howe Ave, Sacramento, CA 95825-3364 | 2018-03-22 |
1457854523 | Erin Leann Gottis | Behavior Technician | 1325 Howe Ave, 207, Sacramento, CA 95825 | 2018-03-14 |
1205339371 | Natalie Christine Robinson | Behavior Technician | 1325 Howe Ave, Sacramento, CA 95825-3364 | 2018-03-14 |
1760856090 | Apex Care Transportation Inc | Non-emergency Medical Transport (VAN) | 1325 Howe Ave, Suite 111, Sacramento, CA 95825-3364 | 2015-11-24 |
1649641887 | University Audiologic Inc. | Audiologist-Hearing Aid Fitter | 1325 Howe Ave, Suite 101, Sacramento, CA 95825-3364 | 2015-10-14 |
1053789602 | Benita Kimball | Orthotist | 1325 Howe Ave, 100, Sacramento, CA 95825-3364 | 2015-09-11 |
1083003859 | Martin Mahoney | Behavioral Analyst | 1325 Howe Ave, Suite 207, Sacramento, CA 95825-3364 | 2015-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
Find all providers in zip 95825 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972147916 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2825 J St Ste 325, Sacramento, CA 95816-4300 | 2019-11-02 |
1487806865 | Collier Orthotics and Prosthetics Sacramento, Inc. | Prosthetic/Orthotic Supplier | 3814 Auburn Blvd Ste 75, Sacramento, CA 95821-2123 | 2008-10-16 |
1962601302 | Anchor Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1828 Tribute Rd Ste G, Sacramento, CA 95815-4310 | 2007-07-16 |
1942354584 | West Coast Prosthetics | Prosthetic/Orthotic Supplier | 65 Quinta Ct Ste I, Sacramento, CA 95823-4310 | 2007-01-22 |
1306911227 | Anchor Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2006-11-24 |
1982715793 | Phillip A Danz & Associates | Prosthetic/Orthotic Supplier | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2006-08-31 |
1518983980 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1651 Arden Way, Sacramento, CA 95815-4004 | 2006-07-15 |
1821083163 | Professional Orthopedic Systems of Sacramento, LLC | Prosthetic/Orthotic Supplier | 5049 College Oak Dr, Suite F, Sacramento, CA 95841-4630 | 2005-09-13 |
1073973194 | Compression Obsession | Prosthetic/Orthotic Supplier | 650 University Ave, Suite 109, Sacramento, CA 95825 | 2016-03-02 |
1205229549 | Grabowski & Associates Inc | Prosthetic/Orthotic Supplier | 5340 Elvas Ave, Suite 700, Sacramento, CA 95819-2345 | 2015-03-11 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95825 |
Please comment or provide details below to improve the information on AT LAST BRA AND LINGERIE BOUTIQUE LLC.
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.