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

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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
1 NPI 1841539285
2 Entity Type Code 1
3 Provider Last Name Legal Name HONEA
4 Provider First Name ELIN
5 Provider First Line Business Practice Location Address 714 W MAIN ST
6 Provider Business Practice Location Address City Name GRASS VALLEY
7 Provider Business Practice Location Address State Name CA
8 Provider Business Practice Location Address Postal Code 959456410
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 5304779800
11 Provider Business Practice Location Address Fax Number 5304779803
12 Provider Enumeration Date 2/5/2013
13 Last Update Date 2/5/2013
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 322D00000X
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor Y

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This page was last updated on: 12/10/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.