Healthy Community Forum for the Greater Sacramento Region

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

HEALTHY COMMUNITY FORUM FOR THE GREATER SACRAMENTO REGION

Practice address

819 19TH St
Sacramento, CA 95811-2108

Phone

(916) 414-8330

Fax

(916) 414-8348

NPI assigned

Mar 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Bennett

Title

Chief Executive Officer

Phone

(916) 414-8336

Specialties & licenses 4

Addresses

Other names 1

• Sacramento Covered Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1154882082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 19TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958112108",
            "telephone_number": "916-414-8330",
            "fax_number": "916-414-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 19TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958112108",
            "telephone_number": "916-414-8330",
            "fax_number": "916-414-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY COMMUNITY FORUM FOR THE GREATER SACRAMENTO REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-414-8336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jxiong@sacramentocovered.org",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "819 19th St",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958112108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sacramento Covered",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacramento Covered",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthlinknow Inc
• Healthmed Braces LLC
• Healthrx Navigator LLC
• Healthwise Medical Group
• Healthy Balance 3
• Healthy Interventions
• Healthy Living at Home LLC
• Healthy Mind Sacramento Psychological Services Inc.
• Aaron H Healy, M.D.
• Julia Healy

• Community Health Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.