Prelude 2 Independent Living, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

330201 Issued in CA

Legal business name

PRELUDE 2 INDEPENDENT LIVING, INC.

Practice address

5800 Jameson CT
Suite #7
Carmichael, CA 95608-0880

Phone

(877) 480-9373

Fax

(916) 650-1105

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Corey Ringgold

Title

Executive Director

Phone

(877) 480-9373

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Prelude 2 Independent Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prelude to Independent Living, Inc.

  • In Home Supportive Care Agency
  • Carmichael, CA
  • NPI 1225277064
  NPD tax ID

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1780812982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 JAMESON CT",
            "address_2": "SUITE #7",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080880",
            "telephone_number": "877-480-9373",
            "fax_number": "916-650-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 JAMESON CT",
            "address_2": "SUITE #7",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080880",
            "telephone_number": "877-480-9373",
            "fax_number": "916-650-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRELUDE 2 INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "RINGGOLD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "877-480-9373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "330201",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "330201",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "330201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225277064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy N Pottenger, MD
• Anthony R. Prasad
• Irene Prasad
• Shalvi Prasad, DPM
• Stephanie Annette Prater, PA-C
• Prelude to Independent Living, Inc.
• Premier Home Health Care & Hospice, Inc.
• Price Less Drug Store
• Jennifer Michelle Prigge, M.D.
• Lendour Aisha Pritchett, RN

• Case Management Agency in Carmichael, CA
• Providers in Carmichael, 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 Jun 25, 2009; 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.