Akua Behavioral Health, Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Rancho Cordova, CA
NPI 1114451663 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1114451663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 340113AP (CA)
- Legal business name
- AKUA BEHAVIORAL HEALTH, INC
- Practice address
- 10087 Terra Loma Dr
Rancho Cordova, CA 95670-3202 - Phone
- (949) 833-8101
- NPI assigned
- Apr 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenny Dewan
- Title
- Ceo
- Phone
- (949) 833-8101
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 21
Practitioners 1
-
Venice Lopez Sanchez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210408000452 | CA | Part B Supplier - Clinic/Group Practice | 6002223179 |
Receives reassigned benefits from 1 practitioner 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; San Diego, CA; Rancho Cordova, CA; Newport Beach, CA; Long Beach, CA; Fair Oaks, CA; Costa Mesa, CA |
National Provider Directory
- Tax ID family
- Akua Behavioral Health Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 340113AP | CA | Yes |
Addresses
Primary practice location
10087 Terra Loma Dr
Rancho Cordova, CA 95670-3202
Mailing address
20271 SW Birch St
Ste-200
Newport Beach, CA 92660-1752
Phone (949) 833-8101
Other providers in Rancho Cordova, CA
- Mya Aguilar
- Mazyar E Ahmadi
- Maqbool Ahmed
- Lisa Ahn
- Olivia Ajeakwa
- Amera Al-Faleh
- Zeyad Alani
- Beatriz Alcazar Alvarez
- Raghad Alchadirchi
- Alcove Rehabilitation Center LLC
All providers in Rancho Cordova, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.