Organization Active NPI

The Betty Kwan Chinn Homeless Foundation

  • Case Management Agency
  • Eureka, CA
National Provider Identifier
1285366799
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE BETTY KWAN CHINN HOMELESS FOUNDATION
Practice address
133 7TH St
Eureka, CA 95501-1770
Phone
(707) 407-3833
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Mary Pieratt
Title
Business Manager
Phone
(720) 256-4806

Specialties & licenses 1

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

Addresses

Primary practice location

133 7TH St
Eureka, CA 95501-1770

Mailing address

PO Box 736
Eureka, CA 95502-0736
Phone (707) 407-3833

National Provider Directory

National Provider Directory

Locations

133 7th St
Eureka, CA 95501
Phone (707) 407-3833

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1285366799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955020736",
            "telephone_number": "707-407-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 7TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011770",
            "telephone_number": "707-407-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETTY KWAN CHINN HOMELESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "PIERATT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "720-256-4806"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.