1508013814 NPI number — DOOR TO HOPE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508013814 NPI number — DOOR TO HOPE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOOR TO HOPE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILIES FIRST AND FOREMOST
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508013814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 W GABILAN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93901-2762
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-758-0181
Provider Business Mailing Address Fax Number:
831-758-5127

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93901-2632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-755-8155
Provider Business Practice Location Address Fax Number:
831-422-9411
Provider Enumeration Date:
08/19/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SHANNON
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
831-758-0181

Provider Taxonomy Codes

  • Taxonomy code: 261QM0855X , with the licence number:  27BVSD, 27BV8 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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