Healthcare Provider Details

I. General information

NPI: 1992669907
Provider Name (Legal Business Name): RESILIENT HOUSING ASSISTANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 PINE ST
REDDING CA
96001-0710
US

IV. Provider business mailing address

455 MARKET ST STE 1940 PMB 211298
SAN FRANCISCO CA
94105-2448
US

V. Phone/Fax

Practice location:
  • Phone: 530-768-0950
  • Fax: 530-232-5432
Mailing address:
  • Phone: 530-768-0950
  • Fax: 530-232-5432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. TYLER ISAAC TILLSON
Title or Position: OWNER/MANAGER
Credential:
Phone: 530-768-0950