NPIMap

Organization Active NPI

Nevada County CCS

  • Rehabilitation Clinic/Center
  • Nevada City, CA
National Provider Identifier
1376696021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NEVADA COUNTY CCS
Practice address
400 Hoover LN
Nevada City, CA 95959-2944
Phone
(530) 265-0618
Fax
(530) 265-0524
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Alice Litton
Title
CMS Coordinator
Phone
(530) 265-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

400 Hoover LN
Nevada City, CA 95959-2944

Mailing address

500 Crown Point Cir
Suite 110
Grass Valley, CA 95945-9514
Phone (530) 265-1450

Other identifiers 1

IdentifierTypeStateIssuer
CCS00002FMedicaidCA

Other names 1

  • Champion Mine School MTU Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Nevada9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376696021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR",
            "address_2": "SUITE 110",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459514",
            "telephone_number": "530-265-1450",
            "fax_number": "530-271-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOOVER LN",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592944",
            "telephone_number": "530-265-0618",
            "fax_number": "530-265-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA COUNTY CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CMS COORDINATOR",
        "authorized_official_telephone_number": "530-265-1450"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00002F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Mine School MTU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nevada City, 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.