ELIN HONEA - NPI NUMBER 1841539285

Summary

Provider Name: ELIN HONEA

NPI Number: 1841539285

Clasification: Residential Treatment Facility, Emotionally Disturbed Children (322D00000X)

Address:
714 W MAIN ST
GRASS VALLEY, CA
ZIP 95945

Phone Number: (530) 477-9800



Detailed Information

Elin Honea is a residential treatment facility, emotionally disturbed children in Grass Valley, CA. The provider is a provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. The assigned NPI number for this provider is 1841539285 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

714 W MAIN ST
GRASS VALLEY, CA
ZIP 95945-410
Phone: (530) 477-9800
Fax: (530) 477-9803

The enumeration date for this NPI number is 2/5/2013 and was last updated on 2/5/2013.

Map - Location of Practice

Taxonomy Codes

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 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1841539285 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name HONEA The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name ELIN The first name of the provider, if the provider is an individual.
5 Provider First Line Business Practice Location Address 714 W MAIN ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name GRASS VALLEY The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 959456410 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 5304779800 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 5304779803 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 2/5/2013 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 2/5/2013 The date that a record was last updated or changed.
14 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
15 Healthcare Provider Taxonomy Code 1 322D00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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