NPIMap

Organization Active NPI

Malaika House

  • Children's Substance Abuse Rehabilitation Facility
  • East Palo Alto, CA
National Provider Identifier
1083041636
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
410027BN Issued in CA
Legal business name
MALAIKA HOUSE
Practice address
819 & 823 Jamie Lane
East Palo Alto, CA 94303
Phone
(650) 462-6999
Fax
(650) 462-1055
NPI assigned
Sep 27, 2013
Last updated
Jan 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Elizabeth Chewning80NPI 1992552475
Title
Administration
Phone
(650) 462-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 410027BN CA Primary

Addresses

Primary practice location

819 & 823 Jamie Lane
East Palo Alto, CA 94303

Mailing address

819 & 823 Jamie Lane
East Palo Alto, CA 94303
Phone (650) 462-6999

Other identifiers 1

IdentifierTypeStateIssuer
410027BNOtherCAREHABILITATION SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Free at Last Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1083041636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 & 823 JAMIE LANE",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "94303",
            "telephone_number": "650-462-6999",
            "fax_number": "650-462-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 & 823 JAMIE LANE",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "94303",
            "telephone_number": "650-462-6999",
            "fax_number": "650-462-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAIKA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "CHEWNING80",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "650-462-6995"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "410027BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHABILITATION SERVICES",
            "identifier": "410027BN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.