NPIMap

Organization Active NPI

Redwood Community Action Agency

Doing business as Family Services Program - Community Services Division

  • Case Manager/Care Coordinator
  • Eureka, CA
National Provider Identifier
1871630442
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
REDWOOD COMMUNITY ACTION AGENCY
Doing business as
Family Services Program - Community Services Division
Practice address
537 9TH St
Eureka, CA 95501-1861
Phone
(707) 445-0881
Fax
(707) 442-2430
NPI assigned
Jan 31, 2007
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Rachel Irene WildNPI 1770619090
Title
Administrative Coordinator II
Phone
(707) 269-2003

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

537 9TH St
Eureka, CA 95501-1861

Mailing address

904 G Street
Eureka, CA 95501
Phone (707) 445-0881

Other names 1

  • Family Services Program - Community Services Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Services Program - Community Services Division2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

904 G St
Eureka, CA 95501
Phone (707) 269-2001

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1871630442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 G STREET",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-445-0881",
            "fax_number": "707-445-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 9TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011861",
            "telephone_number": "707-445-0881",
            "fax_number": "707-442-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR II",
        "authorized_official_telephone_number": "707-269-2003"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Services Program - Community Services Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Services Program - Community Services Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.