NPIMap

Organization Active NPI

Jelani, Inc

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
National Provider Identifier
1306986377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
380045EN Issued in CA
Legal business name
JELANI, INC
Practice address
2261 Bryant St
San Francisco, CA 94110-2833
Phone
(415) 206-1560
Fax
(415) 206-1569
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Margaret Gold
Title
Executive Officer
Phone
(415) 822-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 380045EN CA Primary

Addresses

Primary practice location

2261 Bryant St
San Francisco, CA 94110-2833

Mailing address

1601 Quesada Ave
San Francisco, CA 94124-2334
Phone (415) 822-5977

Other identifiers 1

IdentifierTypeStateIssuer
C388929OtherCACALOMS NUMBER

Other names 1

  • Jelani Mission Recovery House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jelani Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306986377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 QUESADA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242334",
            "telephone_number": "415-822-5977",
            "fax_number": "415-822-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 BRYANT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102833",
            "telephone_number": "415-206-1560",
            "fax_number": "415-206-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELANI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-822-5940",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "380045EN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOMS NUMBER",
            "identifier": "C388929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jelani Mission Recovery House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.