NPIMap

Organization Active NPI

Building Opportunities for Self Sufficiency

  • Community/Behavioral Health Agency
  • Hayward, CA
National Provider Identifier
1972883403
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
Practice address
21761 Meekland Ave
Hayward, CA 94541-3854
Phone
(510) 537-1413
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Robert Eugene Barrer
Title
Assistant Director
Phone
(510) 649-8174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

21761 Meekland Ave
Hayward, CA 94541-3854

Mailing address

2065 Kittredge St
Suite E
Berkeley, CA 94704-1404
Phone (510) 649-0627

Other identifiers 3

IdentifierTypeStateIssuer
8133MedicaidCA
8136MedicaidCA
8134MedicaidCA

Other names 1

  • Meekland Transtional/Sober Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Boss-Ctec13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1972883403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 KITTREDGE ST",
            "address_2": "SUITE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041404",
            "telephone_number": "510-649-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21761 MEEKLAND AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413854",
            "telephone_number": "510-537-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "BARRER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "510-649-8174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8133",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8136",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meekland Transtional/Sober Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.