Organization Active NPI

Redding Transformation Dba Shasta Thrive

  • Case Manager/Care Coordinator
  • Redding, CA
National Provider Identifier
1033956412
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
REDDING TRANSFORMATION DBA SHASTA THRIVE
Practice address
2174 Pine St
Redding, CA 96001-2635
Phone
(530) 524-6880
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Deanna L Gallagher
Title
Executive Direcgtor
Phone
(530) 524-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2174 Pine St
Redding, CA 96001-2635

Mailing address

PO Box 493203
Redding, CA 96049-3203
Phone (530) 524-6880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1033956412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493203",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960493203",
            "telephone_number": "530-524-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 PINE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012635",
            "telephone_number": "530-524-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING TRANSFORMATION DBA SHASTA THRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECGTOR",
        "authorized_official_telephone_number": "530-524-6880"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.