Sacredme.Love

LBN: Sacredme
Sacredme.Love 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
Fax:
Website:
Authorized official contact:
Name: Adedapoidle Tyehimba-Ford, Oloya P DOULA, CEO

Health care specialties

SpecialtyCodeLicense #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 Sacredme.Love
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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639689516 NPPES
California MEDICAID 99501
California MEDICAID 99502
California MEDICAID 99499

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