NPIMap

Organization Active NPI

MHN Government Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Mateo, CA
National Provider Identifier
1134655970
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
41-006-01-120 Issued in CA
Legal business name
MHN GOVERNMENT SERVICES LLC
Practice address
1941 Ofarrell St
Suite 114
San Mateo, CA 94403-1340
Phone
(650) 286-2162
Fax
(650) 572-0274
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Billy Maynard
Title
President & Ceo
Phone
(916) 353-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 41-006-01-120 CA Primary

Addresses

Primary practice location

1941 Ofarrell St
Suite 114
San Mateo, CA 94403-1340

Mailing address

2025 Aerojet Rd
Rancho Cordova, CA 95742-6418
Phone (916) 353-6100

National Provider Directory

National Provider Directory
Tax ID family
MHN Government Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2025 Aerojet Rd
Rancho Cordova, CA 95742
Phone (510) 299-0453

1941 Ofarrell St
Ste 114
San Mateo, CA 94403
Phone (650) 286-2162

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1134655970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 AEROJET RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426418",
            "telephone_number": "916-353-6100",
            "fax_number": "916-353-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 OFARRELL ST",
            "address_2": "SUITE 114",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031340",
            "telephone_number": "650-286-2162",
            "fax_number": "650-572-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHN GOVERNMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "916-353-6100"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "41-006-01-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.