Active NPI
Lovely Sticks
- Supports Brokerage Agency
- Sacramento, CA
National Provider Identifier
1841048287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- LOVELY STICKS
- Practice address
- 1024 Joellis Way
Sacramento, CA 95815-3913 - Phone
- (800) 536-6331
- NPI assigned
- May 10, 2024
- 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
- Makeal Davis
- Title
- Ceo
- Phone
- (916) 866-9562
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
1024 Joellis Way
Sacramento, CA 95815-3913
Mailing address
4500 Natomas Central Dr Apt 1034
Sacramento, CA 95834-7565
Phone (916) 866-9562
National Provider Directory
National Provider DirectoryLocations
1024 Joellis Way
Sacramento, CA 95815
Phone (800) 536-6331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789257600000",
"number": "1841048287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 NATOMAS CENTRAL DR APT 1034",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958347565",
"telephone_number": "916-866-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 JOELLIS WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153913",
"telephone_number": "800-536-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVELY STICKS",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-10",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MAKEAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-866-9562"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"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 Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.