NPIMap

Organization Active NPI

Quest Programs, Inc.

Doing business as Eagle Eye- Horizons

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Rafael, CA
National Provider Identifier
1114616570
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
QUEST PROGRAMS, INC.
Doing business as
Eagle Eye- Horizons
Practice address
51 Elda Dr
San Rafael, CA 94903-3723
Phone
(510) 467-4250
Fax
(510) 259-9090
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEST PROGRAMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Larry HickmanNPI 1073107132
Title
Executive Director
Phone
(510) 467-4250

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
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

51 Elda Dr
San Rafael, CA 94903-3723

Mailing address

PO Box 5715
Berkeley, CA 94705-0715
Phone (510) 467-4250

Other names 1

  • Eagle Eye- Horizons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quest Programs Inc4 organizations share this tax ID, including this one
Part of
Quest Programs Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1114616570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5715",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947050715",
            "telephone_number": "510-467-4250",
            "fax_number": "510-259-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ELDA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033723",
            "telephone_number": "510-467-4250",
            "fax_number": "510-259-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST PROGRAMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST PROGRAMS, INC.",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-23",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-467-4250"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Eye- Horizons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.