Committee On The Shelterless, NPI 1497410286
Supports Brokerage Agency in Petaluma, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1497410286
NPI Entity Type Organization
Provider Name Committee On The Shelterless
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 900 Hopper St, Petaluma, CA, US
Provider Mailing Address 900 Hopper St, Petaluma, CA, US, 949523388
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. Chuck Lewis Fernandez III
Official Position CEO
Phone 707-765-6530

Primary Taxonomy

Taxonomy Code

251X00000X

Taxonomy Name Supports Brokerage Agency
Classification

Supports Brokerage

Group

Agencies

Description A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

Other Organization Name

COTS
Other Name

Business Address

Committee On The Shelterless
900 Hopper St

Petaluma, CA, US

Phone: 707-765-6530

Mailing Address

Committee On The Shelterless
900 Hopper St
Petaluma, CA, US
ZIP 949523388
Phone: 707-765-6530

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] Email for Director of Programs DIRECT CSV No 900 Hopper St, Petaluma, CA, US

Other Providers in CA, US

NPI Name Taxonomy Address

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MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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