Organization Active NPI

Ukiah Senior Center

  • Adult Day Care Clinic/Center
  • Ukiah, CA
National Provider Identifier
1326100504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADU70096F Issued in CA
Legal business name
UKIAH SENIOR CENTER
Practice address
497 Leslie St
Ukiah, CA 95482-5506
Phone
(707) 462-4343
Fax
(707) 462-2997
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Brenda Christian
Title
Executive Director
Phone
(707) 462-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADU70096F CA Primary

Addresses

Primary practice location

497 Leslie St
Ukiah, CA 95482-5506

Mailing address

497 Leslie St
Ukiah, CA 95482-5506
Phone (707) 462-4343

National Provider Directory

National Provider Directory
Tax ID family
Ukiah Senior Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

497 Leslie St
Ukiah, CA 95482
Phone (707) 462-4343

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326100504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 LESLIE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825506",
            "telephone_number": "707-462-4343",
            "fax_number": "707-462-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 LESLIE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825506",
            "telephone_number": "707-462-4343",
            "fax_number": "707-462-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKIAH SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-462-4343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "ADU70096F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.