NPIMap

Organization Active NPI

Community Action Marin

  • Case Management Agency
  • Greenbrae, CA
National Provider Identifier
1346377785
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY ACTION MARIN
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 499-6835
Fax
(415) 499-6033
NPI assigned
Feb 27, 2007
Last updated
Oct 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Authorized official

Name
Laurel Hill
Title
VP Family & Community Services
Phone
(415) 526-7500

Specialties & licenses 1

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

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

555 Northgate Drive #201
Second Floor
San Rafael, CA 94903-3507
Phone (415) 526-7514

Other names 1

  • HAVEN Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Action Marin10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

555 Northgate Dr
Ste 201
San Rafael, CA 94903
Phone (415) 526-7500

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572048000000",
    "number": "1346377785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NORTHGATE DRIVE #201",
            "address_2": "SECOND FLOOR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033507",
            "telephone_number": "415-526-7514",
            "fax_number": "415-457-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-499-6835",
            "fax_number": "415-499-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION MARIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-10-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "VP FAMILY & COMMUNITY SERVICES",
        "authorized_official_telephone_number": "415-526-7500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAVEN Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HAVEN Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.