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MISSION PROVIDER SERVICES, INC.
NPI 1649326547
Intermediate Care Facility, Intellectual Disabilities in Redding, CA

Active since January 25, 2007
11560 WILVERN LN, REDDING, CA 96003(530) 241-9535 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mission Provider Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION PROVIDER SERVICES, INC. (NPI 1649326547) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Redding, California and active in the NPI registry since January 2007. The organization lists Dana Emerson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649326547
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMISSION PROVIDER SERVICES, INC.
Location Address11560 WILVERN LNRedding, CA 96003-8619
Mailing Address2970 Innsbruck Dr Ste CRedding, CA 96003-9303 · (530) 222-5633 · Fax (530) 222-5528
Phone(530) 241-9535
Organization SubpartNo
Authorized OfficialDana EmersonExecutive Director · (530) 222-5633
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649326547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
11560 WILVERN LN, Redding, CA 96003
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Other Identifiers 1

Other55G451CA · Dhs Id Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERAKEY ALLOS
Intermediate Care Facility, Intellectual Disabilities
11560 WILVERN LN
REDDING, CA 96003
Shasta County (215) 836-3131
NORTH VALLEY DEVELOPMENTAL SERVICES INC.
Intermediate Care Facility, Intellectual Disabilities
11560 WILVERN LN
REDDING, CA 96003
Shasta County (530) 222-5633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mission Provider Services, Inc.'s NPI number?

The NPI number for Mission Provider Services, Inc. is 1649326547. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Mission Provider Services, Inc. located?

Mission Provider Services, Inc. is located at 11560 Wilvern Ln, Redding, CA 96003. The listed phone number is (530) 241-9535.

What is Mission Provider Services, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Mission Provider Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.