MEDICARE: IOLA MCINTYRE AYCHE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	820017	LA
2	374J00000X	Doula
3	251E00000X	Home Health Agency	820017	LA
4	253Z00000X	In Home Supportive Care Agency		CA
5	171M00000X	Case Manager/Care Coordinator	820017	LA

General Provider Information

NPI Number	:	1205703816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IOLA MCINTYRE AYCHE

Provider Business Mailing Address
First Line	:	2270 LINCOLN ST STE 4
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5475
Country	:	US
Telephone Number	:	323-984-3590
Fax Number	:	530-282-4993

Provider Business Practice Location Address
First Line	:	2270 LINCOLN ST STE 4
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5475
Country	:	US
Telephone Number	:	323-984-3590
Fax Number	:	530-282-4993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/24/2025

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Directions to “ IOLA MCINTYRE AYCHE ” Practice Location

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