Organization Active NPI

MSK Solutions

  • Foster Care Agency
  • Fairfield, CA
National Provider Identifier
1295326809
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
MSK SOLUTIONS
Practice address
4113 Fall Creek CT
Fairfield, CA 94534-6637
Phone
(510) 681-7988
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mr. Tegre Miles
Title
Chief Executive Officer
Phone
(510) 681-7988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

4113 Fall Creek CT
Fairfield, CA 94534-6637

Mailing address

4113 Fall Creek CT
Fairfield, CA 94534-6637
Phone (510) 681-7988

Other names 1

  • Mile High Residential and Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mile High Residential and Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1295326809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 FALL CREEK CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346637",
            "telephone_number": "510-681-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 FALL CREEK CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346637",
            "telephone_number": "510-681-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "TEGRE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-681-7988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Residential and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.