Healthcare Provider Details

I. General information

NPI: 1063344638
Provider Name (Legal Business Name): HOUSE OF PURPOSE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 VERMONT ST
FAIRFIELD CA
94533-4533
US

IV. Provider business mailing address

1701 VERMONT ST
FAIRFIELD CA
94533-4533
US

V. Phone/Fax

Practice location:
  • Phone: 707-208-7831
  • Fax:
Mailing address:
  • Phone: 707-208-7831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ALTHEIA LINDSEY
Title or Position: MANAGER
Credential:
Phone: 707-208-7831