Life House Reentry

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LIFE HOUSE REENTRY

Practice address

2020 Hurley Way Ste 185D
Sacramento, CA 95825-3223

Phone

(855) 454-3387

NPI assigned

Aug 12, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Julius JacksonNPI 1932642923

Title

Ceo

Phone

(707) 816-0640

Specialties & licenses 7

Addresses

Other names 1

• Life House Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julius Jackson

  • Addiction (Substance Use Disorder) Counselor
  • San Francisco, CA
  • NPI 1932642923
  NPD Authorized official
• Kairia Shariff

  • Community Health Worker
  • Sacramento, CA
  • NPI 1376480202
  NPD (past)

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766880000000",
    "number": "1407732837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HURLEY WAY STE 185D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253223",
            "telephone_number": "855-454-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HURLEY WAY STE 185D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253223",
            "telephone_number": "855-454-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOUSE REENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-816-0640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humberto Lievanos
• Martha Lievanos
• Emily Lievre, RBT
• Life & Liberation Corp.
• Life Family Medicine Clinic, Inc
• Life Practice Counseling Group
• Life Practice Counseling Group
• Life Skills Training and Educational Programs, Inc.
• Life Steps Consulting
• Lifecare Solutions Inc

• Case Management Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; 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.