Active NPI
The Betty Kwan Chinn Homeless Foundation
- Case Management Agency
- Eureka, CA
National Provider Identifier
1285366799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.