Harvey House Manor II

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

360111BP Issued in CA

Legal business name

HARVEY HOUSE MANOR II

Practice address

11372 San Juan St
Loma Linda, CA 92354-3329

Phone

(877) 706-2650

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Lela Forcen

Title

Stba

Phone

(877) 706-2650

Specialties & licenses 1

Addresses

Tax ID family

Harvey House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Harvey House, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
  • NPI 1508393356
  NPD tax ID

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1326585266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11372 SAN JUAN ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543329",
            "telephone_number": "877-706-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11372 SAN JUAN ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543329",
            "telephone_number": "877-706-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY HOUSE MANOR II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "FORCEN",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "STBA",
        "authorized_official_telephone_number": "877-706-2650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360111BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ka'Liyah Hart
• Richard H. Hart, M.D.
• Emil Maurice Harty, MD
• Golda Marcell Harvatin, D.O.
• Teresa Marie Harvatin, DNP, ACNP-BC
• Christopher Harvey
• Mehde Jamal Hasan
• Olen Jack Haseman, MD
• Omar Midhat Hashem, NURSE PRACTITIONER
• Ghadah Saad Hasoon

• Substance Abuse Rehabilitation Facility in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.