Organization
LIFE HOUSE REENTRY
Active
Other names
Life House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS JACKSON (CEO)
(707) 816-0640
Entity
Organization
Contact information
Practice address
2020 HURLEY WAY STE 185D, SACRAMENTO, CA 95825-3223
(855) 454-3387
Mailing address
2020 HURLEY WAY STE 185D, SACRAMENTO, CA 95825-3223
(855) 454-3387
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
08/12/2025
Last updated
12/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us