Individual provider Active NPI

Letila Tuiqilai

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1821846478
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
GNB32024-00969 Issued in CA
Practice address
9057 La Riviera Dr
Sacramento, CA 95826-2148
Phone
(916) 500-1054
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X GNB32024-00969 CA
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X GNB32024-00969 CA
Home Health Agency 251E00000X GNB32024-00969 CA Primary

Addresses

Primary practice location

9057 La Riviera Dr
Sacramento, CA 95826-2148

Mailing address

9057 La Riviera Dr
Sacramento, CA 95826-2148
Phone (916) 500-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GNB32024-00969CAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Home Care Agency Home Health Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1821846478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9057 LA RIVIERA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262148",
            "telephone_number": "916-500-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057 LA RIVIERA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262148",
            "telephone_number": "916-500-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUIQILAI",
        "first_name": "LETILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "GNB32024-00969",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": "CA",
            "license": "GNB32024-00969",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "GNB32024-00969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.