=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578486387
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | H&A COMMUNITY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2026
-----------------------------------------------------
Last Update Date | 07/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5119 HILLSDALE BLVD APT 59
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95842-3558
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-224-4290
-----------------------------------------------------
Fax | 916-224-4290
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5119 HILLSDALE BLVD APT 59
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95842-3558
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-224-4290
-----------------------------------------------------
Fax | 916-224-4290
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECOTR
-----------------------------------------------------
Name | ABDUL SAMI RASSOLI
-----------------------------------------------------
Credential | RASSOLI
-----------------------------------------------------
Telephone | 916-224-4290
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 172V00000X
-----------------------------------------------------
Taxonomy Name | Community Health Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------