Intentional Healing Home Health Services LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

INTENTIONAL HEALING HOME HEALTH SERVICES LLC

Practice address

455 Sawyer Dr
Vacaville, CA 95687-7895

Phone

(707) 761-5992

NPI assigned

Apr 29, 2020

Last updated

Apr 29, 2020By 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

Delicia Alexander, RN

Title

Owner

Phone

(707) 761-5992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1861013914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAWYER DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAWYER DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877895",
            "telephone_number": "707-761-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEALING HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-761-5992",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.