NPIMap

Organization Active NPI

County of Shasta Through Health & Human Services Agency

Doing business as Shasta County CCS Redding MTU

  • Rehabilitation Clinic/Center
  • Redding, CA
National Provider Identifier
1265567622
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COUNTY OF SHASTA THROUGH HEALTH & HUMAN SERVICES AGENCY
Doing business as
Shasta County CCS Redding MTU
Practice address
2750 Wixon Lane
Redding, CA 96001
Phone
(530) 225-5574
Fax
(530) 225-5563
NPI assigned
Feb 23, 2007
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SHASTA THROUGH HHSAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Mrs. Christine Renee Triantafyllou, OTR/L
Title
Redding CCS Mtu Therapist Superviso
Phone
(530) 225-5574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

2750 Wixon Lane
Redding, CA 96001

Mailing address

2750 Wixon Lane
Redding, CA 96001
Phone (530) 225-5574

Other identifiers 1

IdentifierTypeStateIssuer
CCS00014FOtherCAMEDICAL

Other names 1

  • Shasta County CCS Redding MTU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shasta Gen Hosp Dept of33 organizations share this tax ID, including this one
Part of
Shasta Gen Hosp Dept of

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1265567622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 WIXON LANE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-225-5574",
            "fax_number": "530-225-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 WIXON LANE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-225-5574",
            "fax_number": "530-225-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHASTA THROUGH HEALTH & HUMAN SERVICES AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SHASTA THROUGH HHSA",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "TRIANTAFYLLOU",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "REDDING CCS MTU THERAPIST SUPERVISO",
        "authorized_official_telephone_number": "530-225-5574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "CCS00014F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta County CCS Redding MTU",
            "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 26, 2019; 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.