ALTIGNIS CAMPUS LLC NPI 1104568377

NPI Information

NPI: 1104568377
Provider Name: ALTIGNIS CAMPUS, LLC

Doing Business As: ALTER MENTAL HEALTH SAN DIEGO

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4850 67TH ST
SAN DIEGO, CA
ZIP 92115
Phone: (949) 877-2419
Get Directions

ALTIGNIS CAMPUS, LLC is a community based residential treatment facility mental illness in San Diego, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ALTIGNIS CAMPUS, LLC NPI is 1104568377. The provider is registered as an organization entity type.
The provider Is Doing Business As Alter Mental Health San Diego.

The provider's business location address is:

4850 67TH ST
SAN DIEGO, CA
ZIP 92115
Phone: (949) 877-2419
Fax: (949) 308-7789

The provider's authorized official is Michelle Duensing .
The authorized official title is Billing Manager and has the following contact phone number (949) 877-2419.

The enumeration date for this NPI number is 4/8/2022 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	656620	OTHER		THE JOINT COMMISSION
2	374604507	OTHER	CALIFORNIA	DEPARTMENT OF SOCIAL SERVICES
3	MHBS220408	OTHER	CALIFORNIA	DEPARTMENT OF HEALTH CARE SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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