MEDICARE: CODE 4 HOOD EDU

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	174200000X	Meals Provider
3	175T00000X	Peer Specialist
4	251B00000X	Case Management Agency
5	251X00000X	Supports Brokerage Agency
6	405300000X	Prevention Professional
7	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1831050327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CODE 4 HOOD EDU

Provider Business Mailing Address
First Line	:	4625 44TH ST # 9
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-3909
Country	:	US
Telephone Number	:	916-889-0088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4625 44TH ST # 9
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-3909
Country	:	US
Telephone Number	:	916-889-0088
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	ALONA JENNINGS
Credential	:
Telephone Number	:	916-889-0088

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “CODE 4 HOOD EDU ” Practice Location

Language	Start Address	Practice Location

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