NPIMap

Organization Active NPI

Khepera House Inc

  • Substance Abuse Rehabilitation Facility
  • Ventura, CA
National Provider Identifier
1316430788
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
560004JN Issued in CA
Legal business name
KHEPERA HOUSE INC
Practice address
125 W Harrison Ave
Ventura, CA 93001-1886
Phone
(805) 653-2596
Fax
(805) 648-9762
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Mr. Miklos Baer
Title
Executive Director
Phone
(805) 653-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 560004JN CA Primary

Addresses

Primary practice location

125 W Harrison Ave
Ventura, CA 93001-1886

Mailing address

330 N Ventura Ave
Ventura, CA 93001-1937
Phone (805) 653-2596

National Provider Directory

National Provider Directory
Tax ID family
Khepera House Inc3 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.

Locations

330 N Ventura Ave
Ventura, CA 93001

Practitioners & affiliated clinicians

Practitioners 7

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": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1316430788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N VENTURA AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011937",
            "telephone_number": "805-653-2596",
            "fax_number": "805-648-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HARRISON AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011886",
            "telephone_number": "805-653-2596",
            "fax_number": "805-648-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHEPERA HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "MIKLOS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-653-2596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "560004JN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.