Bithiahs House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

197806776 Issued in CA

Legal business name

BITHIAHS HOUSE

Practice address

1706 Wineglow Cir
Walnut, CA 91789-3544

Phone

(909) 595-3419

Fax

(909) 444-3379

NPI assigned

May 29, 2018

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Thompson

Title

Executive Director

Phone

(909) 631-8677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1326539040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 WINEGLOW CIR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893544",
            "telephone_number": "909-595-3419",
            "fax_number": "909-444-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 WINEGLOW CIR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893544",
            "telephone_number": "909-595-3419",
            "fax_number": "909-444-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITHIAHS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-631-8677"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "197806776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Walnut, CA
• Providers in Walnut, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.