Provider Demographics
NPI:1710341193
Name:HEALTHY HORIZONS BREASTFEEDING CENTERS
Entity Type:Organization
Organization Name:HEALTHY HORIZONS BREASTFEEDING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:650-347-6455
Mailing Address - Street 1:720 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3005
Mailing Address - Country:US
Mailing Address - Phone:650-579-2726
Mailing Address - Fax:
Practice Address - Street 1:1432 BURLINGAME AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4111
Practice Address - Country:US
Practice Address - Phone:650-347-6455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
196-13217174N00000X
CA1881988921332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1881988921Medicaid