Provider Demographics
NPI:1396538591
Name:NORCAL HEALTH AND HOUSING LLC
Entity type:Organization
Organization Name:NORCAL HEALTH AND HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-406-3984
Mailing Address - Street 1:4015 SAFFRON WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-3465
Mailing Address - Country:US
Mailing Address - Phone:530-524-5626
Mailing Address - Fax:530-806-0474
Practice Address - Street 1:4015 SAFFRON WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-3465
Practice Address - Country:US
Practice Address - Phone:530-524-5626
Practice Address - Fax:530-806-0474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management