Her Harbor LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HER HARBOR LLC

Practice address

6667 N Van Ness Blvd
Fresno, CA 93711-1249

Phone

(877) 536-0845

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Johns

Title

Manager

Phone

(815) 919-0595

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Her Harbor Recovery Center Other name

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

CLIA laboratory certificates

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1164239299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 N KNOLL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110622",
            "telephone_number": "877-536-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 N VAN NESS BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111249",
            "telephone_number": "877-536-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6435 N Palm Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937041086",
            "country_code": "US",
            "telephone_number": "877-536-0845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HER HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-919-0595"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "100110AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "100110BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Her Harbor Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashton Hensley, PT, DPT
• Rosevilyn Quillopo Hensley, LVN
• Roy L Hensley, CATC
• Thavin Heopasert
• Pearl Delight Heppner, LMFT
• Her Yonisty Feminine Wellness LLC
• Her Yonisty Inc.
• Mao Her-Flores, DDS
• Alicia Her
• Alma Her

• Substance Abuse Rehabilitation Facility in Fresno, CA
• Providers in Fresno, 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 Dec 12, 2024; 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.