Organization Active NPI

Lutheran Church of the Cross

Doing business as Youth Emergency Assistance Hostel

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1760674238
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUTHERAN CHURCH OF THE CROSS
Doing business as
Youth Emergency Assistance Hostel
Practice address
1744 University Ave
Berkeley, CA 94703-1514
Phone
(510) 704-9867
Fax
(510) 848-1456
NPI assigned
Aug 17, 2007
Organization subpart
Yes
Parent organization
LUTHERAN CHURCH OF THE CROSSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Ms. Sharon Hawkins Leyden, LCSWNPI 1801088364
Title
Executive Director
Phone
(510) 206-7427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1744 University Ave
Berkeley, CA 94703-1514

Mailing address

1744 University Ave
Berkeley, CA 94703-1514
Phone (510) 704-9867

Other names 1

  • Youth Emergency Assistance Hostel Doing business as

National Provider Directory

National Provider Directory
Part of
Lutheran Church of the Cross

Locations

1744 University Ave
Berkeley, CA 94703
Phone (510) 228-2046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1760674238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031514",
            "telephone_number": "510-704-9867",
            "fax_number": "510-848-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031514",
            "telephone_number": "510-704-9867",
            "fax_number": "510-848-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN CHURCH OF THE CROSS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN CHURCH OF THE CROSS",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "LEYDEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "HAWKINS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-206-7427",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Emergency Assistance Hostel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.