Active NPI
Housing El Dorado
- Supports Brokerage Agency
- Placerville, CA
National Provider Identifier
1891510475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- HOUSING EL DORADO
- Practice address
- 1390 Broadway # B-216
Placerville, CA 95667-5900 - Phone
- (530) 317-8877
- NPI assigned
- Nov 19, 2024
- Last updated
- Nov 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole Paine
- Title
- Program Coordinator
- Phone
- (530) 317-8877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
1390 Broadway # B-216
Placerville, CA 95667-5900
Mailing address
1390 Broadway # B-216
Placerville, CA 95667-5900
National Provider Directory
National Provider DirectoryLocations
1390 Broadway
#B216
Placerville, CA 95667
Phone (530) 317-8877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1891510475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 BROADWAY # B-216",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 BROADWAY # B-216",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675900",
"telephone_number": "530-317-8877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSING EL DORADO",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "PAINE",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "PROGRAM COORDINATOR",
"authorized_official_telephone_number": "530-317-8877"
},
"taxonomies": [
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.