Provider Demographics
NPI:1851275135
Name:M-PACT INNOVATORS LLC
Entity type:Organization
Organization Name:M-PACT INNOVATORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PRINCIPAL CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:HENRIETTA
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MBA, MSC, ACRE-C
Authorized Official - Phone:415-672-0372
Mailing Address - Street 1:21239 GARY DR APT 519
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-6130
Mailing Address - Country:US
Mailing Address - Phone:415-672-0372
Mailing Address - Fax:
Practice Address - Street 1:166 GEARY ST STE 1500
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-5628
Practice Address - Country:US
Practice Address - Phone:415-672-0372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health