NPIMap

Organization Active NPI

Sun Street Centers

  • Substance Abuse Rehabilitation Facility
  • Hollister, CA
National Provider Identifier
1316438567
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
350004BN Issued in CA
Legal business name
SUN STREET CENTERS
Practice address
343 6TH St
Hollister, CA 95023-3834
Phone
(831) 265-7317
NPI assigned
May 23, 2018
Organization subpart
Yes
Parent organization
SUN STREET CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Gordon William Horne, LAADC
Title
Clinical Supervisor
Phone
(831) 809-8176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 350004BN CA Primary

Addresses

Primary practice location

343 6TH St
Hollister, CA 95023-3834

Mailing address

11 Peach Dr
Salinas, CA 93901-3710
Phone (831) 809-8176

Other identifiers 2

IdentifierTypeStateIssuer
350004BNOtherCASTATE OF CALIFORNIA DEP. OF HEALTH CARE SERVICES
303396OtherCACARF

Other names 1

  • Sun Street Centers Women's Residential Program Hollister Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun Street Centers13 organizations share this tax ID, including this one
Part of
Sun Street Centers

Other organizations with this tax ID 12

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

Locations

343 6th St
Hollister, CA 95023
Phone (831) 265-7317

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1316438567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEACH DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013710",
            "telephone_number": "831-809-8176",
            "fax_number": "831-753-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 6TH ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233834",
            "telephone_number": "831-265-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN STREET CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN STREET CENTERS",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "831-809-8176",
        "authorized_official_credential": "LAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "350004BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEP. OF HEALTH CARE SERVICES",
            "identifier": "350004BN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF",
            "identifier": "303396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Street Centers Women's Residential Program Hollister",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.