HOWER LODGE INC. NPI 1184148165

NPI Information

NPI: 1184148165
Provider Name: HOWER LODGE, INC.

Doing Business As: HOPE LODGE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
26166 CIRCLE DRIVE
LAKE ARROWHEAD, CA
ZIP 92352
Phone: (909) 338-3851
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HOWER LODGE, INC. is a rehabilitation and substance use disorder clinic center in Lake Arrowhead, CA. HOWER LODGE, INC. NPI is 1184148165. The provider is registered as an organization entity type.
The provider Is Doing Business As Hope Lodge.

The provider's business location address is:

26166 CIRCLE DRIVE
LAKE ARROWHEAD, CA
ZIP 92352
Phone: (909) 338-3851

The provider's authorized official is Peter Gates .
The authorized official title is Cco / Managing Member and has the following contact phone number (949) 701-1959.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 10/10/2023.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	360113AP	CALIFORNIA	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	300733AP	OTHER	CALIFORNIA	DHCS: DETOX, IMS, & RECOVERY/TREATMENT SERVICES
2	360113AP	OTHER	CALIFORNIA	DHCS: DETOX, IMS & RECOVERY/TREATMENT SERVICES LICENSE
3	620869	OTHER	CALIFORNIA	THE JOINT COMMISSION

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

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