MISSION PROVIDER SERVICES INC NPI 1326200817

NPI Information

  • NPI: 1326200817
  • Provider Name: MISSION PROVIDER SERVICES INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 2970 INNSBRUCK DR STE C
    REDDING, CA
    ZIP 96003
  • Phone: (530) 222-5633

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NPI Details

MISSION PROVIDER SERVICES INC is an intermediate care facility mentally retarded in Redding, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MISSION PROVIDER SERVICES INC NPI is 1326200817. The provider is registered as an organization entity type.

The provider's business location address is:

2970 INNSBRUCK DR STE C
REDDING, CA
ZIP 96003-303
Phone: (530) 222-5633
Fax: (530) 222-5528

The provider's authorized official is Dana Emerson .
The authorized official title is Owner/administrator and has the following contact phone number (530) 222-5633.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities230000307CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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