ANDREA ROAD-TRAVELER LONGORIA NPI 1003005190

Case Manager/Care Coordinator in Ukiah, CA

About ANDREA LONGORIA

Andrea Longoria is a provider in Ukiah, CA. The NPI number assigned to this provider is 1003005190. The practitioner's primary taxonomy code is Case Manager/Care Coordinator (171M00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003005190 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ANDREA ROAD-TRAVELER LONGORIA
Provider Location Address518 LOW GAP RD UKIAH, CA 95482 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address518 LOW GAP RD UKIAH, CA 95482 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-15-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-15-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ANDREA ROAD-TRAVELER LONGORIA
518 LOW GAP RD
UKIAH, CA
ZIP 95482
Phone: (707) 463-4968
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Mailing Address

ANDREA ROAD-TRAVELER LONGORIA
518 LOW GAP RD
UKIAH, CA
ZIP 95482
Phone: (707) 463-4968

Primary Taxonomy

Taxonomy Code171M00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCase Manager/Care Coordinator
TypeOther Service Providers
Taxonomy DescriptionA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Map Location


ANDREA ROAD-TRAVELER LONGORIA address is 518 LOW GAP RD UKIAH, CA 95482

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003062209 GEMA J PEREZ
Individual
Case Manager/Care Coordinator518 LOW GAP RD
UKIAH, CA 95482
(707) 467-6411
1497961015 KATHRYN KELLY FEIGIN
Individual
Counselor (Addiction (Substance Use Disorder))518 LOW GAP RD
UKIAH, CA 95482
(707) 467-6012
1649468968COUNTY OF MENDOCINO
Organization
Community/Behavioral Health518 LOW GAP RD
UKIAH, CA 95482
(707) 472-2637
1710016829COUNTY OF MENDOCINO
Organization
Clinic/Center (Adolescent and Children Mental Health)518 LOW GAP RD
UKIAH, CA 95482
(707) 472-2300