Healthcare Provider Details

I. General information

NPI: 1245153055
Provider Name (Legal Business Name): H&A COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5119 HILLSDALE BLVD APT 59
SACRAMENTO CA
95842-3558
US

IV. Provider business mailing address

5119 HILLSDALE BLVD APT 59
SACRAMENTO CA
95842-3558
US

V. Phone/Fax

Practice location:
  • Phone: 916-224-4290
  • Fax: 916-224-4290
Mailing address:
  • Phone: 916-224-4290
  • Fax: 916-224-4290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: ABDUL SAMI RASSOLI
Title or Position: DIRECTOR
Credential: RASSOLI
Phone: 916-224-4290