NPIMap

Organization Active NPI

Terra Bella Communities

  • Intellectual Disabilities Intermediate Care Facility
  • Redding, CA
National Provider Identifier
1588830657
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
230000320 Issued in CA
Legal business name
TERRA BELLA COMMUNITIES
Practice address
237 Shadowrun CT.
Redding, CA 96003
Phone
(530) 247-1862
Fax
(530) 247-0987
NPI assigned
May 7, 2008
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Carla McCormack
Title
Licensee
Phone
(408) 713-2770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU
Intellectual Disabilities Intermediate Care Facility 315P00000X 230000320 CA Primary

Addresses

Primary practice location

237 Shadowrun CT.
Redding, CA 96003

Mailing address

7990 Westwood Drive
Gilroy, CA 95020
Phone (408) 713-2770

Other identifiers 1

IdentifierTypeStateIssuer
55G417MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Terra Bella Communities6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1588830657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 WESTWOOD DRIVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-713-2770",
            "fax_number": "408-713-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SHADOWRUN CT.",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96003",
            "telephone_number": "530-247-1862",
            "fax_number": "530-247-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA BELLA COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "408-713-2770"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "230000320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55G417",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.