NEIGHBORHOOD HOUSE ASSOCIATION NPI 1669690921

NPI Information

NPI: 1669690921
Provider Name: NEIGHBORHOOD HOUSE ASSOCIATION

Doing Business As: NEIGHBORHOOD HOUSE ADULT DAY HEALTH CARE CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
851 S 35TH ST
SAN DIEGO, CA
ZIP 92113
Phone: (619) 233-6691
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NEIGHBORHOOD HOUSE ASSOCIATION is an adult day care clinic center in San Diego, CA. NEIGHBORHOOD HOUSE ASSOCIATION NPI is 1669690921. The provider is registered as an organization entity type.
The provider Is Doing Business As Neighborhood House Adult Day Health Care Center.

The provider's business location address is:

851 S 35TH ST
SAN DIEGO, CA
ZIP 92113-701
Phone: (619) 233-6691
Fax: (619) 233-6693

The provider's authorized official is Rudolph Johnson .
The authorized official title is President & Ceo and has the following contact phone number (858) 715-2642.

The CLIA number assigned to this NPI record is 05D0984824 - other - adhcc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.

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
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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
1	ADU70072F	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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