HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.) (NPI# 1598301921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598301921 |
Entity Type | Organization |
Organization Name | HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.) |
Practice Address |
4986 Watt Ave Ste D North Highlands CA 95660-5182 |
Mailing Address |
3030 Explorer Dr Sacramento CA 95827-2728 |
Practice Telephone | 9166421867 |
Mailing Telephone | 9166421867 |
Enumeration Date | 2019-11-20 |
Last Update Date | 2019-11-20 |
Authorized Official Name | JERRY T BLIATOUT (CEO) |
Authorized Official Telephone | 9166421867 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sacramento Community Clinic - Watt Dental | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487653 | Health and Life Organization, Inc. (h.a.l.o.) | Clinic/Center | 7215 55th St Ste B, Sacramento, CA 95823-2601 | 2020-04-29 |
1538180245 | Health and Life Organization, Inc. (h.a.l.o.) | Family Medicine | 2200 Del Paso Blvd, Sacramento, CA 95815-3102 | 2006-07-21 |
1932624962 | Health and Life Organization, Inc. (h.a.l.o.) | Clinic/Center | 3301 Fong Ranch Rd, Sacramento, CA 95834-1719 | 2017-08-10 |
Street Address |
4986 WATT AVE STE D |
City | NORTH HIGHLANDS |
State | CA |
Zip Code | 95660-5182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003415951 | Tammy Pham | Dentist | 4986 Watt Ave Ste D, North Highlands, CA 95660-5182 | 2020-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881198810 | Wyzell Washington | Behavior Technician | 4039 Polk Street #89, North Highlands, CA 95660 | 2018-03-23 |
1184147746 | Rosane Jordao | Registered Nurse | 6045 Watt Ave # Wz3e, North Highlands, CA 95660 | 2017-07-25 |
1962823435 | Aaron Michael Lowe | Chiropractor | 5400 Watt Ave., North Highlands, CA 95660 | 2013-12-30 |
1609157833 | Working Title LLC | Non-emergency Medical Transport (VAN) | 3831 Tavi Ave, North Highlands, CA 95660 | 2011-09-01 |
1275795122 | Twin Rivers Unified School District | Local Education Agency (LEA) | 3222 Winona Way, North Highlands, CA 95660 | 2008-07-01 |
1295850154 | Vera Bolyshkanov | Dentist | 6137 Watt Ave, Suite 8, North Highlands, CA 95660 | 2007-03-20 |
1245304856 | Nourollah Danialypour | General Practice | 5708 Watt Avenue, North Highlands, CA 95660 | 2006-11-17 |
1912000571 | Marc Douglas Siemens | Chiropractor | 5705 Marconi Ave, Ste B, Carmichael, CA 95660 | 2006-09-07 |
1811004906 | Wendy Walker Godfrey | Social Worker | 3628 Madison Avenue, Suite 7, North Highlands, CA 95660 | 2006-08-24 |
1629181045 | Erik Sternad | Marriage & Family Therapist | 4612 Roseville Road, North Highlands, CA 95660 | 2006-08-17 |
Find all providers in zip 95660 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366051120 | Elica Health Centers | Clinic/Center | 4815 Watt Ave, North Highlands, CA 95660-5108 | 2020-07-28 |
1851893077 | Elica Health Centers | Clinic/Center | 5708 Watt Avenue, North Highlands, CA 95660 | 2018-03-03 |
1861942849 | Wellspace Health | Clinic/Center | 6015 Watt Ave, #2, North Highlands, CA 95660-4294 | 2016-10-13 |
1326175100 | Wellspace Health | Clinic/Center | 6015 Watt Ave, Ste 2, North Highlands, CA 95660-4294 | 2007-02-27 |
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Find all providers with the same taxonomy |
City | NORTH HIGHLANDS |
Zip Code | 95660 |
Please comment or provide details below to improve the information on HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.).
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.