Healthcare Provider Details

I. General information

NPI: 1447013685
Provider Name (Legal Business Name): CHICO HOUSING ACTION TEAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MISSION RANCH BLVD
CHICO CA
95926-2175
US

IV. Provider business mailing address

PO BOX 4868
CHICO CA
95927-4868
US

V. Phone/Fax

Practice location:
  • Phone: 530-393-9565
  • Fax:
Mailing address:
  • Phone: 153-039-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE DRUMMOND
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 153-039-9395