Sutter Lakeside Home Medical Services
Organization Active NPI Home Health Agency · Lakeport, CA
NPI 1902876337 · NPPES record last updated Jan 13, 2009
Key facts
- NPI
- 1902876337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 010000118 (CA)
- Legal business name
- SUTTER LAKESIDE HOME MEDICAL SERVICES
- Practice address
- 843 Parallel Dr
Lakeport, CA 95453-5707 - Phone
- (707) 263-7400
- Fax
- (707) 263-1964
- NPI assigned
- Jan 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Faith D Lykken, BSN, RN
- Title
- Director /Administrator
- Phone
- (707) 263-7400
Corporate family (same tax ID) 38
National Provider Directory
- Tax ID family
- Sutter Visiting Nurse
Locations
2710 Gateway Oaks Dr
Ste 320S
Sacramento, CA 95833
Phone (916) 388-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010000118 | CA | Yes |
Addresses
Primary practice location
843 Parallel Dr
Lakeport, CA 95453-5707
Mailing address
843 Parallel Dr
Lakeport, CA 95453-5707
Phone (707) 263-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07620G | Medicaid | CA |
Other providers in Lakeport, CA
- Tiffani Fawn Strickland
- Sutter Bay Hospitals
- Sutter Bay Hospitals
- Sutter Bay Hospitals
- Sutter Bay Hospitals
- Sutter Lakeside Hospital
- Sutter Lakeside Hospital
- Sutter Lakeside Hospital
- Sutter Lakeside Hospital
- Sutter Lakeside Hospital
All providers in Lakeport, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.