Healthcare Provider Details

I. General information

NPI: 1629758750
Provider Name (Legal Business Name): THAT'S A LATCH, A NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 N ST STE N
SACRAMENTO CA
95816
US

IV. Provider business mailing address

2018 N ST STE N
SACRAMENTO CA
95816
US

V. Phone/Fax

Practice location:
  • Phone: 347-324-6457
  • Fax:
Mailing address:
  • Phone: 347-324-6457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: TENDAI CHINHENZVA
Title or Position: OWNER
Credential: RN
Phone: 347-324-6457