Provider Demographics
NPI:1790498327
Name:NORTH COAST OPPORTUNITIES
Entity Type:Organization
Organization Name:NORTH COAST OPPORTUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-467-3200
Mailing Address - Street 1:413 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4421
Mailing Address - Country:US
Mailing Address - Phone:707-467-3200
Mailing Address - Fax:707-462-0191
Practice Address - Street 1:413 N STATE ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4421
Practice Address - Country:US
Practice Address - Phone:707-467-3200
Practice Address - Fax:707-462-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care