Healthcare Provider Details

I. General information

NPI: 1669393468
Provider Name (Legal Business Name): LEANN HASTINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

797 COLLEGE HILL RD
PARADISE CA
95969-5009
US

IV. Provider business mailing address

797 COLLEGE HILL RD
PARADISE CA
95969-5009
US

V. Phone/Fax

Practice location:
  • Phone: 530-630-7192
  • Fax:
Mailing address:
  • Phone: 530-630-7192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: