Organization Active NPI

Life at Home Safety Services, LLC

  • Occupational Therapist
  • Castro Valley, CA
National Provider Identifier
1104589688
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.