EPAK LLC (NPI# 1518578251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518578251 |
| Entity Type | Organization |
| Organization Name | EPAK LLC |
| Practice Address |
6327 Giovanni Way Palmdale CA 93551 |
| Practice Telephone | 3109998113 |
| Practice Fax Number | 6612065039 |
| Mailing Telephone | 3109998113 |
| Mailing Fax Number | 6612065039 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Authorized Official Name | MR. MARK DWAYNE JACKSON II (ADMINISTRATOR) |
| Authorized Official Telephone | 3109998113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
Nursing Service Providers | ||
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers |
| Street Address |
6327 GIOVANNI WAY |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| 1568869303 | Angel Congregate Living, Inc | Home Health | 38536 Desert View Dr, Palmdale, CA 93551 | 2014-11-21 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810843 | Pamela James | Registered Nurse | 825 Vandal Way, Palmdale, CA 93551-4593 | 2020-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093148 | Edith K Augustt | Registered Nurse | 8954 Reseda Blvd Ste 201, Northridge, CA 91324-6507 | 2020-11-04 |
| 1962002741 | Hayley Michelle Ohlwiler | Registered Nurse | 10 Waverly Pl, Ladera Ranch, CA 92694-0220 | 2020-10-29 |
| 1326647835 | Jazmin Flores | Registered Nurse | 230 N Sherman Ave, Corona, CA 92882-1843 | 2020-10-26 |
| 1700483153 | Anton Vu | Registered Nurse | 11222 Garden Grove Blvd, Garden Grove, CA 92843-1338 | 2020-10-07 |
| 1164036950 | Carol Theresa Brown | Registered Nurse | 14582 Agave St, Moreno Valley, CA 92553-7164 | 2020-08-31 |
| 1073127841 | Janice Richardson | Registered Nurse | 15986 Turtle Bay Pl, Fontana, CA 92336-4543 | 2020-08-31 |
| 1285247601 | Abena Bonsu | Registered Nurse | 5362 Fairview Blvd, Los Angeles, CA 90056-2308 | 2020-08-25 |
| 1710590245 | International Medical Group Inc, Home Healthcare & Hospice | Registered Nurse | 14431 Ventura Blvd Ste 507, Sherman Oaks, CA 91423-2606 | 2020-08-25 |
| 1942810049 | Andrew Christian Malintang | Registered Nurse | 1466 Shane Ct, Redlands, CA 92374-5710 | 2020-08-04 |
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| 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.