Joshua House, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300207IP Issued in CA

Legal business name

JOSHUA HOUSE, LLC

Practice address

9842 13TH St
Garden Grove, CA 92844-3171

Phone

(949) 269-9247

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Paul Alexander

Title

President & Coo

Phone

(949) 650-4334

Specialties & licenses 1

Addresses

Other names 1

• Northbound Treatment Services Doing business as

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

CLIA laboratory certificates

Tax ID family

Joshua House LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Joshua House, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport Beach, CA
  • NPI 1265975064
  NPD tax ID

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1093174302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9842 13TH ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443171",
            "telephone_number": "949-269-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "949-650-4334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300207IP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northbound Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joong Y Park M D Medical Corp
• Joong Young Park M.D. Inc.
• Victor Jordan
• Joshua Jorge
• Jose Miranda MD Inc.
• Jennymarie Danielle Jost
• John Michael Jost
• Derrick Juan
• Axel Juarez Robles
• Michael Anthony Juarez

• Substance Abuse Rehabilitation Facility in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 29, 2022; 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.