KINGDOM BUILDERS TRANSITIONAL HOUSING PROGRAM NPI 1558178665

NPI Information

NPI: 1558178665
Provider Name: KINGDOM BUILDERS TRANSITIONAL HOUSING PROGRAM
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
:
Address: 2321 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94601
Phone: (510) 326-2446

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NPI Details

KINGDOM BUILDERS TRANSITIONAL HOUSING PROGRAM is a substance abuse rehabilitation facility in Oakland, 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. KINGDOM BUILDERS TRANSITIONAL HOUSING PROGRAM NPI is 1558178665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2321 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94601-018
Phone: (510) 326-2446

The provider's authorized official is Ernest L Jackson .
The authorized official title is Director and has the following contact phone number (415) 860-6767.

The enumeration date for this NPI number is 12/12/2024 and was last updated on 5/16/2025.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP1600X	Counselor	Pastoral	No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	No
4	207R00000X	Internal Medicine		No
5	251B00000X	Case Management		No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
7	324500000X	Substance Abuse Rehabilitation Facility		Yes

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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