NPIMap

Organization Active NPI

Mission Provider Services Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Redding, CA
National Provider Identifier
1326200817
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
230000307 Issued in CA
Legal business name
MISSION PROVIDER SERVICES INC
Practice address
2970 Innsbruck Dr Ste C
Redding, CA 96003-9303
Phone
(530) 222-5633
Fax
(530) 222-5528
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Dana Emerson
Title
Owner/Administrator
Phone
(530) 222-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 230000307 CA Primary

Addresses

Primary practice location

2970 Innsbruck Dr Ste C
Redding, CA 96003-9303

Mailing address

2970 Innsbruck Dr
Ste C
Redding, CA 96003-9303
Phone (530) 222-5633

National Provider Directory

National Provider Directory
Tax ID family
Mission Provider Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1326200817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 INNSBRUCK DR",
            "address_2": "STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960039303",
            "telephone_number": "530-222-5633",
            "fax_number": "530-222-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 INNSBRUCK DR STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960039303",
            "telephone_number": "530-222-5633",
            "fax_number": "530-222-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "530-222-5633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "230000307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 2008; 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.