Organization Active NPI

Housing El Dorado

  • Supports Brokerage Agency
  • Placerville, CA
National Provider Identifier
1891510475
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.