NPIMap

Organization Active NPI

Sacredme

Doing business as SacredMe.Love

  • Religious Nonmedical Health Care Institution
  • Antioch, CA
National Provider Identifier
1639689516
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
Legal business name
SACREDME
Doing business as
SacredMe.Love
Practice address
623 Shaddick Dr
Antioch, CA 94509-5044
Phone
(510) 691-5169
NPI assigned
Oct 5, 2017
Last updated
Oct 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Mrs. Oloya P Adedapoidle Tyehimba-Ford, DOULA, CEO
Title
Lay Midwife/Owner
Phone
(925) 250-5400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X CA
Birthing Clinic/Center 261QB0400X CA
Point of Service 305S00000X CA
In Home Supportive Care Agency 253Z00000X CA
Religious Nonmedical Health Care Institution 282J00000X CA Primary

Addresses

Primary practice location

623 Shaddick Dr
Antioch, CA 94509-5044

Mailing address

623 Shaddick Dr
Antioch, CA 94509-5044
Phone (510) 691-5169

Other identifiers 3

IdentifierTypeStateIssuer
99501MedicaidCA
99499MedicaidCA
99502MedicaidCA

Other names 1

  • SacredMe.Love Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1639689516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 SHADDICK DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095044",
            "telephone_number": "510-691-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SHADDICK DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095044",
            "telephone_number": "510-691-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACREDME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "ADEDAPOIDLE TYEHIMBA-FORD",
        "authorized_official_first_name": "OLOYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LAY MIDWIFE/OWNER",
        "authorized_official_telephone_number": "925-250-5400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DOULA, CEO"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99501",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99499",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SacredMe.Love",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.