HEALTH AND LIFE ORGANIZATION, INC. (NPI# 1013355585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013355585 |
| Entity Type | Organization |
| Organization Name | HEALTH AND LIFE ORGANIZATION, INC. |
| Other Organization Name | SACRAMENTO COMMUNITY CLINIC |
| Practice Address |
7551 Timberlake Way Suite# 240 Sacramento CA 95823-5420 |
| Practice Telephone | 9166421867 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | JERRY T BLIATOUT (CEO) |
| Authorized Official Telephone | 9164283788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sacramento Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104484807 | Health and Life Organization, Inc. | Clinic/Center | 7275 E Southgate Dr Ste 106, Sacramento, CA 95823-2610 | 2019-05-29 |
| 1265864854 | Health and Life Organization, Inc. | Clinic/Center | 796 7th St E, Saint Paul, MN 55106-5015 | 2013-08-06 |
| 1295044832 | Health and Life Organization, Inc. | Clinic/Center | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2010-09-30 |
| Street Address |
7551 TIMBERLAKE WAY SUITE# 240 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818503 | Nidal Ali Khalili | Psychiatry & Neurology | 7551 Timberlake Way, Ste 240, Sacramento, CA 95823-5422 | 2006-04-04 |
| 1861813362 | Restpadd Health Corp | Clinic/Center | 7551 Timberlake Way, Sacramento, CA 95823-5420 | 2013-12-30 |
| 1184063604 | Harry A. Khasigian A Medical Corporation | Specialist | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823-5420 | 2013-06-18 |
| 1881999811 | Timberlake Physical Therapy, Inc. | Physical Therapist | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823-5420 | 2011-01-23 |
| 1619141371 | Marlene Terry Brent | Social Worker | 7551 Timberlake Way, Suite 240, Sacramento, CA 95823-5420 | 2008-04-14 |
| 1780860585 | Daniel M Damico M D A Professional Corporation | Orthopaedic Surgery | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823-5420 | 2008-01-11 |
| 1124209861 | Carolyn T Peretti | Physical Therapist | 7551 Timberlake Way, Suite 200, Sacramento, CA 95823 | 2007-11-23 |
| 1811017536 | James W. Brode, Md., Inc. | Specialist | 7551 Timberlake Way, Suite 240, Sacramento, CA 95823-5420 | 2007-03-29 |
| 1487701850 | Barbara J Arnold | Ophthalmology | 7551 Timberlake Way, Ste 100, Sacramento, CA 95823-5421 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265059182 | Elica Health Centers | Clinic/Center | 77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337 | 2020-06-26 |
| 1508487653 | Health and Life Organization, Inc. (h.a.l.o.) | Clinic/Center | 7215 55th St Ste B, Sacramento, CA 95823-2601 | 2020-04-29 |
| 1720546724 | Wellspace Health | Clinic/Center | 4241 Florin Rd Ste 30, Sacramento, CA 95823-2535 | 2019-03-08 |
| 1073077616 | Cares Community Health | Clinic/Center | 815 S St, Sacramento, CA 95811-7064 | 2019-01-28 |
| 1982114492 | Cares Community Health | Clinic/Center | 1442 Ethan Way Ste 100, Sacramento, CA 95825-2232 | 2017-10-10 |
| 1548705874 | Elica Health Centers | Clinic/Center | 752 Revere St Unit B, Sacramento, CA 95818-2073 | 2016-12-22 |
| 1063965952 | Health for All - Revere Clinic | Clinic/Center | 752 Revere St, Unit B, Sacramento, CA 95818-2073 | 2016-07-27 |
| 1164886040 | Peach Tree Healthcare | Clinic/Center | 3810 Rosin Ct, Suite 100, Sacramento, CA 95834-1656 | 2016-04-07 |
| 1740660703 | Elica Health Centers | Clinic/Center | 1750 Wright St Ste 1, Sacramento, CA 95825-4041 | 2015-06-04 |
| 1104210608 | Wellspace Health | Clinic/Center | 3535 65th St, Suite C, Sacramento, CA 95820-2057 | 2015-03-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.