Organization Active NPI

Ndllj Inc

  • Substance Abuse Rehabilitation Facility
  • Escondido, CA
National Provider Identifier
1013402908
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NDLLJ INC
Practice address
21734 Amble Dr
Escondido, CA 92029-4800
Phone
(760) 697-0497
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Honora JenkinsNPI 1558247858
Title
Owner
Phone
(760) 697-0497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

21734 Amble Dr
Escondido, CA 92029-4800

Mailing address

1507 E Valley Pkwy Ste 3
Escondido, CA 92027-2322

Other names 1

  • Harmony grove recovery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2165256Harmony Grove Recovery21734 Amble Drive, Escondido, CA 92029Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Harmony Grove Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1507 E Valley Pkwy
Ste 3
Escondido, CA 92027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1013402908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E VALLEY PKWY STE 3",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21734 AMBLE DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294800",
            "telephone_number": "760-697-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDLLJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HONORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-697-0497"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony grove recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harmony grove recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.