NPIMap

Organization Active NPI

MSK Solutions

Doing business as Mile High Residential and Behavioral Health

  • Foster Care Agency
  • Vallejo, CA
National Provider Identifier
1265023915
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
MSK SOLUTIONS
Doing business as
Mile High Residential and Behavioral Health
Practice address
1116 Legend Cir
Vallejo, CA 94591-8679
Phone
(707) 647-3972
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Mr. Tegre Miles
Title
Chief Executive Officer
Phone
(510) 681-7988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1116 Legend Cir
Vallejo, CA 94591-8679

Mailing address

3871 Quarryville CT
Fairfield, CA 94533-6651
Phone (510) 681-7988

Other practice location 1

444 Georgia St
Vallejo, CA 94590-6005
Phone (510) 681-7988

Other practice location 2

4113 Fall Creek Ct
Fairfield, CA 94534-6637
Phone (707) 863-0125

Other names 1

  • Mile High Residential and Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mile High Residential and Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

  • MSK Solutions

    dba Mile High Residential and Behavioral Health

    • Foster Care Agency
    • Fairfield, CA
    • NPI 1295326809
    NPD tax ID
  • MSK Solutions

    dba Mile High Residential Behavior Health Services

    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Vallejo, CA
    • NPI 1437803178
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1265023915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 QUARRYVILLE CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336651",
            "telephone_number": "510-681-7988",
            "fax_number": "510-323-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 LEGEND CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918679",
            "telephone_number": "707-647-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945906005",
            "country_code": "US",
            "telephone_number": "510-681-7988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4113 Fall Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945346637",
            "country_code": "US",
            "telephone_number": "707-863-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MSK SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "TEGRE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-681-7988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Residential and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.