Active NPI
Ndllj Inc
- Substance Abuse Rehabilitation Facility
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Honora Jenkins
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2165256 | Harmony Grove Recovery | Certificate of waiver | Apr 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Harmony Grove Recovery
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Valley Center, CA
- NPI 1467237172
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Marcos, CA
- NPI 1558946731
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.
-
- Addiction (Substance Use Disorder) Counselor
- Escondido, CA
- NPI 1558247858
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.