Provider Demographics
NPI:1417707027
Name:INTELLIX HEALTH & NURSING CARE INC
Entity Type:Organization
Organization Name:INTELLIX HEALTH & NURSING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCH NP/FNP
Authorized Official - Prefix:
Authorized Official - First Name:AMAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYAOHA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:562-519-6647
Mailing Address - Street 1:24325 CRENSHAW BLVD # 267
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5349
Mailing Address - Country:US
Mailing Address - Phone:562-519-6647
Mailing Address - Fax:
Practice Address - Street 1:13132 STUDEBAKER RD STE 310
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2557
Practice Address - Country:US
Practice Address - Phone:562-519-6647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty