Active NPI
Magenta Haze Public Relations
- Community Based Hospice Care Agency
- Tracy, CA
National Provider Identifier
1366951246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MAGENTA HAZE PUBLIC RELATIONS
- Doing business as
- Magenta Sky PR
- Practice address
- 323 E Vernalis Rd
Tracy, CA 95304-9376 - Phone
- (510) 372-5830
- NPI assigned
- Sep 23, 2017
- 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
- Shelyng Knicole McCovery, LVN
- Title
- Administrator
- Phone
- (925) 217-4833
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Inpatient Hospice | 315D00000X | |||
| Nursing Home Administrator | 376G00000X |
Addresses
Primary practice location
323 E Vernalis Rd
Tracy, CA 95304-9376
Mailing address
1500 Goldenbay Ave Apt 111
San Ramon, CA 94582-5863
Phone (925) 217-4833
Other names 1
- Magenta Sky PR
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506124800000",
"number": "1366951246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 GOLDENBAY AVE APT 111",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825863",
"telephone_number": "925-217-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E VERNALIS RD",
"city": "TRACY",
"state": "CA",
"postal_code": "953049376",
"telephone_number": "510-372-5830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGENTA HAZE PUBLIC RELATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-23",
"last_updated": "2017-09-23",
"status": "A",
"authorized_official_last_name": "MCCOVERY",
"authorized_official_first_name": "SHELYNG",
"authorized_official_middle_name": "KNICOLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "925-217-4833",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magenta Sky PR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.