Organization Active NPI

Dignity Health Connected Living

  • Home Delivered Meals
  • Redding, CA
National Provider Identifier
1689325086
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
DIGNITY HEALTH CONNECTED LIVING
Practice address
100 Mercy Oaks Dr
Redding, CA 96003-8643
Phone
(530) 226-3059
NPI assigned
Jan 17, 2022
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Shannon Louise Krikorian
Title
Manager
Phone
(530) 226-3059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

100 Mercy Oaks Dr
Redding, CA 96003-8643

Mailing address

200 Mercy Oaks Dr
Redding, CA 96003-8641
Phone (530) 223-3064

National Provider Directory

National Provider Directory
Tax ID family
Dignity Health Connected Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

100 Mercy Oaks Dr
Redding, CA 96003
Phone (530) 226-3059

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1689325086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY OAKS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038641",
            "telephone_number": "530-223-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY OAKS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038643",
            "telephone_number": "530-226-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH CONNECTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "KRIKORIAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-226-3059"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2023; 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.