HER HARBOR LLC NPI 1164239299

NPI Information

  • NPI: 1164239299
  • Provider Name: HER HARBOR LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 6667 N VAN NESS BLVD
    FRESNO, CA
    ZIP 93711
  • Phone: (877) 536-0845

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NPI Details

HER HARBOR LLC is a substance abuse rehabilitation facility in Fresno, 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 individuals with disorders in the abuse of drugs, alcohol, and other substances. HER HARBOR LLC NPI is 1164239299. The provider is registered as an organization entity type.

The provider's business location address is:

6667 N VAN NESS BLVD
FRESNO, CA
ZIP 93711-249
Phone: (877) 536-0845

The provider's authorized official is Michelle Johns .
The authorized official title is Manager and has the following contact phone number (815) 919-0595.

The enumeration date for this NPI number is 12/12/2024 and was last updated on 12/12/2024.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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
1100110APOTHERCALIFORNIADHCS
2100110BPOTHERCALIFORNIADHCS

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: 3/30/2025

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