KUUMBA HOUSE NPI 1538068457

NPI Information

  • NPI: 1538068457
  • Provider Name: KUUMBA HOUSE
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 4092 MONTGOMERY HILL DR
    ANTIOCH, CA
    ZIP 94531
  • Phone: (925) 318-0845

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NPI Details

KUUMBA HOUSE is a residential treatment facility emotionally disturbed children in Antioch, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. KUUMBA HOUSE NPI is 1538068457. The provider is registered as an organization entity type.

The provider's business location address is:

4092 MONTGOMERY HILL DR
ANTIOCH, CA
ZIP 94531-275
Phone: (925) 318-0845

The provider's authorized official is Betheny Jordan .
The authorized official title is Coo and has the following contact phone number (925) 318-0845.

The enumeration date for this NPI number is 11/5/2026 and was last updated on 11/5/2026.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed 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: 11/21/2025

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