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ADEONA HEALTHCARE LLC NPI 1306254818


NPI Information

NPI: 1306254818
Provider Name: ADEONA HEALTHCARE, LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 05D2081881

Address:
2815 STEELE CANYON RD
EL CAJON, CA
ZIP 92019
Phone: (949) 522-9553
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ADEONA HEALTHCARE, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in El Cajon, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ADEONA HEALTHCARE, LLC NPI is 1306254818. The provider is registered as an organization entity type.

The provider's business location address is:

2815 STEELE CANYON RD
EL CAJON, CA
ZIP 92019-619
Phone: (949) 522-9553
Fax: (949) 943-1541

The provider's authorized official is Ron Girskis .
The authorized official title is Business Operation Specialist and has the following contact phone number (949) 359-8273.

The CLIA number assigned to this NPI record is 05D2081881 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 10/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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: 11/14/2023

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