Healthcare Provider Details

I. General information

NPI: 1073409959
Provider Name (Legal Business Name): MOTHER MINDS PERSONAL HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 FREEPORT BLVD STE 200C
SACRAMENTO CA
95822-3538
US

IV. Provider business mailing address

6130 FREEPORT BLVD STE 200C
SACRAMENTO CA
95822-3538
US

V. Phone/Fax

Practice location:
  • Phone: 916-699-9184
  • Fax:
Mailing address:
  • Phone: 916-804-6723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA MARIE RAM
Title or Position: CEO
Credential: HEALTH CARE
Phone: 916-699-9184