1568719813 NPI number — PENN VALLEY SEVENTH-DAY ADVENTIST CHURCH

Table of content: (NPI 1568719813)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568719813 NPI number — PENN VALLEY SEVENTH-DAY ADVENTIST CHURCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PENN VALLEY SEVENTH-DAY ADVENTIST CHURCH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HELPING HANDS CAREGIVER RESOURCE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568719813
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 23165
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLEASANT HILL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94523-0165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-685-4300
Provider Business Mailing Address Fax Number:
925-685-4380

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17645 PENN VALLEY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENN VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95946-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-432-2540
Provider Business Practice Location Address Fax Number:
530-432-2479
Provider Enumeration Date:
08/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MAGNUSON
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR PROPERTY & RISK MANAGEMENT
Authorized Official Telephone Number:
925-685-4300

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X , with the licence number:  297004181 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 297004181 . This is a "CALIFORNIA DEPARTMENT OF SOCIAL SERVICES ADC PROVIDER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com