NPIMap

Organization Active NPI

Sutter Lakeside Home Medical Services

  • Home Health Agency
  • Lakeport, CA
National Provider Identifier
1902876337
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010000118 Issued in 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
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Ms. Faith D Lykken, BSN, RN
Title
Director /Administrator
Phone
(707) 263-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010000118 CA Primary

Addresses

Primary practice location

843 Parallel Dr
Lakeport, CA 95453-5707

Mailing address

843 Parallel Dr
Lakeport, CA 95453-5707
Phone (707) 263-7400

National Provider Directory

National Provider Directory
Tax ID family
Sutter Visiting Nurse39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

5196 Hill Rd E
Ste 204
Lakeport, CA 95453
Phone (707) 263-7400

2710 Gateway Oaks Dr
Ste 320S
Sacramento, CA 95833
Phone (916) 388-6200

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1902876337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535707",
            "telephone_number": "707-263-7400",
            "fax_number": "707-263-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535707",
            "telephone_number": "707-263-7400",
            "fax_number": "707-263-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER LAKESIDE HOME MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "LYKKEN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR /ADMINISTRATOR",
        "authorized_official_telephone_number": "707-263-7400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "010000118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.