Mission Provider Services, Inc. in Redding - Intermediate Care Facility, Intellectual Disabilities
Mission Provider Services, Inc. - NPI 1174679583
Mission Provider Services, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Redding, California. Mission Provider Services, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Mission Provider Services, Inc. is 1174679583. The last update date is 2020-08-22.
Mission Provider Services, Inc.'s current location address is 1916 Herbscenta Ln, Redding, California. You can contact this provider via phone number 5302426709. The mailing address for Mission Provider Services, Inc. is 1916 Herbscenta Ln, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mission Provider Services, Inc. |
|---|---|
| Address | 1916 Herbscenta Ln, Redding, California |
| Phone Number | 5302426709 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Emerson Dana |
| Telephone Number | 5302225633 |
NPI Number Detail
| NPI Number | 1174679583 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1916 Herbscenta Ln |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960031135 |
| Phone Number | 5302426709 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55G198 | CA | DHS ID NUMBER |
Post Comment/ Review Below
What is the Mission Provider Services, Inc.'s unique identification number?
The Mission Provider Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1174679583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mission Provider Services, Inc. is physically located?
The Mission Provider Services, Inc. is situated at the following address: 1916 Herbscenta Ln, Redding, CA 960031135.
What is Mission Provider Services, Inc.'s area of expertise and its corresponding taxonomy classification?
The Mission Provider Services, Inc.'s field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
When was the Mission Provider Services, Inc.'s 1174679583 issued?
The Mission Provider Services, Inc.'s 1174679583 was issued on 2007-01-26.
As of what date were the details pertaining to Mission Provider Services, Inc. last refreshed?
The information related to the Mission Provider Services, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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