Committee On The Shelterless
Supports Brokerage in Petaluma, CA. Organization (NPI-2).
NPI number1497410286
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1497410286
- Entity type
- Organization (NPI-2)
- Legal business name
- Committee On The Shelterless
- Organization subpart
- No
- Enumeration date
- Nov 5, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage | – | – | Yes |
Other names
- Cots (Other Name)
Practice location
900 Hopper StPetaluma, CA 94952-3388
Phone 707-765-6530
Mailing address
900 Hopper StPetaluma, CA 94952-3388
Phone 707-765-6530
Authorized official
Chuck Lewis Fernandez
Ceo
7077656530
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.