Active NPI
Life at Home Safety Services, LLC
- Occupational Therapist
- Castro Valley, CA
National Provider Identifier
1104589688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- LIFE AT HOME SAFETY SERVICES, LLC
- Practice address
- 5724 Medallion CT
Castro Valley, CA 94552-1708 - Phone
- (510) 301-1096
- NPI assigned
- Oct 20, 2021
- Last updated
- Dec 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy L Ortzow, OTR/L
- Title
- Member/Owner
- Phone
- (510) 301-1096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
5724 Medallion CT
Castro Valley, CA 94552-1708
Mailing address
5724 Medallion CT
Castro Valley, CA 94552-1708
Phone (510) 301-1096
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Rehabilitation Occupational Therapist
- Castro Valley, CA
- NPI 1174815559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1104589688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 MEDALLION CT",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945521708",
"telephone_number": "510-301-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5724 MEDALLION CT",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945521708",
"telephone_number": "510-301-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE AT HOME SAFETY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2021-12-06",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "ORTZOW",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "510-301-1096",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.