Committee on the Shelterless

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

COMMITTEE ON THE SHELTERLESS

Practice address

900 Hopper St
Petaluma, CA 94952-3388

Phone

(707) 765-6530

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chuck Lewis Fernandez III

Title

Ceo

Phone

(707) 765-6530

Specialties & licenses 1

Addresses

Other names 1

• COTS Other name

Electronic endpoints 1

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1497410286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOPPER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523388",
            "telephone_number": "707-765-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOPPER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523388",
            "telephone_number": "707-765-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTEE ON THE SHELTERLESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-765-6530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpelican@cots.org",
            "affiliation": "N",
            "endpointDescription": "Email for Director of Programs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Hopper St",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949523388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "COTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Supports Brokerage Agency in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Supports Brokerage Agency in California

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