NPIMap

Organization Active NPI

The Resource Environment for Underprivileged Groups Enterprise, Inc.

Doing business as Kimbilio

  • Mental Illness Community Based Residential Treatment Facility
  • San Leandro, CA
National Provider Identifier
1275033797
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE RESOURCE ENVIRONMENT FOR UNDERPRIVILEGED GROUPS ENTERPRISE, INC.
Doing business as
Kimbilio
Practice address
1480 159TH Ave
San Leandro, CA 94578-2052
Phone
(510) 301-5809
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Mr. Jason Henderson
Title
Executive Director
Phone
(510) 500-3951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1480 159TH Ave
San Leandro, CA 94578-2052

Mailing address

PO Box 19275
Oakland, CA 94619-0275

Other names 1

  • KIMBILIO Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jh@therefugeinc.org

National Provider Directory

National Provider Directory
Tax ID family
The Resource Environment for Underprivileged Groups Enterprise Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1275033797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19275",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946190275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 159TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782052",
            "telephone_number": "510-301-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESOURCE ENVIRONMENT FOR UNDERPRIVILEGED GROUPS ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-500-3951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jh@therefugeinc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1480 159th Ave",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945782052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KIMBILIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.