POTENTIAL WAY
NPI 1588434849
Lodging in Clearlake Oaks, CA

Q: What is Potential Way's NPI number?

The NPI number for Potential Way is 1588434849. It was assigned to this organization in the NPPES registry on January 8, 2024.

Q: What is Potential Way's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

Q: When was this NPI record last updated?

The NPPES record for Potential Way was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2024

12901 E HIGHWAY 20, CLEARLAKE OAKS, CA 95423(916) 613-0098(707) 703-5792 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Potential Way NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTENTIAL WAY (NPI 1588434849) is a healthcare organization registered as a lodging in Clearlake Oaks, California and active in the NPI registry since January 2024. The organization lists Jacqueline Marie Kelly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588434849

Entity TypeOrganization

Primary Taxonomy177F00000X

Legal Business NamePOTENTIAL WAY

Location Address12901 E HIGHWAY 20Clearlake Oaks, CA 95423-9326

Mailing AddressPo Box 516Clearlake Oaks, CA 95423-0516 · (916) 613-0098

Phone(916) 613-0098

Fax(707) 703-5792

Organization SubpartNo

Authorized OfficialJacqueline Marie KellyCeo · (916) 613-0098

Enumeration DateJanuary 8, 2024

NPPES CertifiedJanuary 6, 2024

✔ NPI 1588434849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyLodgingOther Service Providers

Taxonomy Code177F00000X

Definition

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Also ListedMealsTaxonomy 174200000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

12901 E HIGHWAY 20, Clearlake Oaks, CA 95423

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potential Way's NPI number?

The NPI number for Potential Way is 1588434849. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Potential Way located?

Potential Way is located at 12901 E Highway 20, Clearlake Oaks, CA 95423. The listed phone number is (916) 613-0098.

What is Potential Way's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Potential Way was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.