Provider Demographics
NPI:1073409959
Name:MOTHER MINDS PERSONAL HEALTH CARE, LLC
Entity type:Organization
Organization Name:MOTHER MINDS PERSONAL HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RAM
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH CARE
Authorized Official - Phone:916-699-9184
Mailing Address - Street 1:5040 JACKSON ST SPC 11
Mailing Address - Street 2:
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-5341
Mailing Address - Country:US
Mailing Address - Phone:916-699-9184
Mailing Address - Fax:
Practice Address - Street 1:5040 JACKSON ST SPC 11
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-5341
Practice Address - Country:US
Practice Address - Phone:916-699-9184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No174H00000XOther Service ProvidersHealth Educator
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty