Healthcare Provider Details

I. General information

NPI: 1417707027
Provider Name (Legal Business Name): INTELLIX HEALTH & NURSING CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13132 STUDEBAKER RD STE 310
NORWALK CA
90650-2557
US

IV. Provider business mailing address

24325 CRENSHAW BLVD # 267
TORRANCE CA
90505-5349
US

V. Phone/Fax

Practice location:
  • Phone: 562-519-6647
  • Fax:
Mailing address:
  • Phone: 562-519-6647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMAKA ANYAOHA
Title or Position: PSYCH NP/FNP
Credential: DNP
Phone: 562-519-6647