NPIMap

Organization Active NPI

North Valley Developmental Services Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Redding, CA
National Provider Identifier
1962476432
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
230000218 Issued in CA
Legal business name
NORTH VALLEY DEVELOPMENTAL SERVICES INC
Practice address
Harpole Rd.
Redding, CA 96002
Phone
(530) 226-0375
Fax
(530) 365-1609
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mr. Gary M Green
Title
Cfo / Owner
Phone
(530) 226-0375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 230000218 CA Primary

Addresses

Primary practice location

Harpole Rd.
Redding, CA 96002

Mailing address

PO Box 492478
Redding, CA 96049
Phone (530) 226-0375

Other identifiers 2

IdentifierTypeStateIssuer
LTC60530HMedicaidCA
LTC60590HMedicaidCA

Other names 1

  • NVDS Inc - Harpole Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Valley Developmental Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1962476432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492478",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96049",
            "telephone_number": "530-226-0375",
            "fax_number": "530-365-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARPOLE RD.",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-226-0375",
            "fax_number": "530-365-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY DEVELOPMENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO / OWNER",
        "authorized_official_telephone_number": "530-226-0375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "230000218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60530H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60590H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NVDS Inc - Harpole",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.