Tri-County Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TRI-COUNTY INDEPENDENT LIVING

Practice address

2822 Harris St
Eureka, CA 95503-4809

Phone

(707) 445-8404

Fax

(707) 445-9751

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Christine A. Jones

Title

Executive Director

Phone

(707) 445-8404

Specialties & licenses 1

Addresses

Other names 1

• Humboldt Access Project Former legal business name

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1376869602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034809",
            "telephone_number": "707-445-8404",
            "fax_number": "707-445-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034809",
            "telephone_number": "707-445-8404",
            "fax_number": "707-445-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-445-8404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humboldt Access Project",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Transitional Residential Treatment Facilities
• Paul Anthony Trausch
• Tonya Traylor, RN
• Darina Trendafilova
• Patrice Trevoledes, MA,MFT
• Nicolas Triana-Baltzer, RPH
• Huy Tran Trieu, M.D.
• Ruth Trinidad, DMD
• Vincent Trinidad, DMD
• Michael Adrian Tripp

• Case Management Agency in Eureka, CA
• Providers in Eureka, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.