Irene's Home LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

IRENE'S HOME LLC

Practice address

1916 South 43Rd St
San Diego, CA 92113

Phone

(619) 538-7599

Fax

(619) 393-0448

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Portia Smith

Title

Ceo

Phone

(619) 538-7599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1063163905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 SOUTH 43RD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92113",
            "telephone_number": "619-538-7599",
            "fax_number": "619-393-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 SOUTH 43RD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92113",
            "telephone_number": "619-538-7599",
            "fax_number": "619-393-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE'S HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-538-7599"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicente Jesus Iraguimadoz, M.D./PH.D
• Mehrnaz Irani, DMD
• Roya Nicole Iravani
• Richard O'Neal Irby, P.T.A.
• River Orion Irby, RN
• Emma J Ireton
• Joshua Aaron Ireton
• Isabella Iriarte
• Alaina Irias
• Maria Cecilia Irigaray

• Substance Abuse Rehabilitation Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.