Organization Active NPI

North Coast Opportunities

  • Case Management Agency
  • Ukiah, CA
National Provider Identifier
1790498327
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTH COAST OPPORTUNITIES
Practice address
413 N State St
Ukiah, CA 95482-4421
Phone
(707) 467-3200
Fax
(707) 462-0191
NPI assigned
Dec 28, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Patty Bruder
Title
Executive Director
Phone
(707) 467-3200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Home Delivered Meals 332U00000X NU
Respite Care 385H00000X NU
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

413 N State St
Ukiah, CA 95482-4421

Mailing address

413 N State St
Ukiah, CA 95482-4421
Phone (707) 467-3200

National Provider Directory

National Provider Directory

Locations

413 N State St
Ukiah, CA 95482
Phone (707) 467-3200

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1790498327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824421",
            "telephone_number": "707-467-3200",
            "fax_number": "707-462-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824421",
            "telephone_number": "707-467-3200",
            "fax_number": "707-462-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST OPPORTUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "BRUDER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-467-3200"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.