Organization Active NPI

Dignity Health Connected Living

Doing business as Golden Umbrella

  • Case Management Agency
  • Redding, CA
National Provider Identifier
1013348358
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIGNITY HEALTH CONNECTED LIVING
Doing business as
Golden Umbrella
Practice address
200 Mercy Oaks Dr
Redding, CA 96003-8641
Phone
(530) 223-6034
Fax
(530) 223-0658
NPI assigned
Dec 12, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe Ayer, MPH
Title
Executive Director
Phone
(530) 226-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

200 Mercy Oaks Dr
Redding, CA 96003-8641

Mailing address

200 Mercy Oaks Dr
Redding, CA 96003-8641
Phone (530) 223-6034

Other identifiers 1

IdentifierTypeStateIssuer
MSS00025FMedicaidCA

Other names 1

  • Golden Umbrella Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0989982Golden Umbrella Inc Adhc200 Mercy Oaks Dr, Redding, CA 96003Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dignity Health Connected Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Mercy Oaks Dr
Redding, CA 96003
Phone (530) 223-6034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013348358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY OAKS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038641",
            "telephone_number": "530-223-6034",
            "fax_number": "530-223-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY OAKS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038641",
            "telephone_number": "530-223-6034",
            "fax_number": "530-223-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH CONNECTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AYER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-226-3064",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSS00025F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Umbrella",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.