Organization Active NPI

Lifespan

  • In Home Supportive Care Agency
  • Santa Cruz, CA
National Provider Identifier
1861745416
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFESPAN
Practice address
600 Frederick St
Santa Cruz, CA 95062-2203
Phone
(831) 469-4900
Fax
(831) 469-4950
NPI assigned
Oct 19, 2012
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Saundie Isaak
Title
Director
Phone
(831) 469-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CA Primary

Addresses

Primary practice location

600 Frederick St
Santa Cruz, CA 95062-2203

Mailing address

600 Frederick St
Santa Cruz, CA 95062-2203
Phone (831) 469-4900

National Provider Directory

National Provider Directory

Locations

600 Frederick St
Santa Cruz, CA 95062
Phone (831) 469-4900

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1861745416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622203",
            "telephone_number": "831-469-4900",
            "fax_number": "831-469-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622203",
            "telephone_number": "831-469-4900",
            "fax_number": "831-469-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ISAAK",
        "authorized_official_first_name": "SAUNDIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "831-469-4900"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.