NPIMap

Organization Active NPI

The Resource Environment for Underprivileged Groups Enterprise, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oakland, CA
National Provider Identifier
1396936605
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
015600412 Issued in CA
Legal business name
THE RESOURCE ENVIRONMENT FOR UNDERPRIVILEGED GROUPS ENTERPRISE, INC.
Practice address
4321 Tompkins Ave
Oakland, CA 94619-2820
Phone
(510) 301-5809
NPI assigned
Aug 5, 2007
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Mr. Jason B Henderson
Title
Exceutive Director
Phone
(510) 301-5809

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 015600744 CA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 015600412 CA Primary

Addresses

Primary practice location

4321 Tompkins Ave
Oakland, CA 94619-2820

Mailing address

PO Box 19275
Oakland, CA 94619-0275
Phone (510) 301-5809

Other names 1

  • R.E.F.U.G.E Other name

National Provider Directory

National Provider Directory
Tax ID family
The Resource Environment for Underprivileged Groups Enterprise Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1396936605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19275",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946190275",
            "telephone_number": "510-301-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 TOMPKINS AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192820",
            "telephone_number": "510-301-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESOURCE ENVIRONMENT FOR UNDERPRIVILEGED GROUPS ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXCEUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-301-5809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "015600744",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "015600412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.E.F.U.G.E",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "R.E.F.U.G.E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.