Organization Active NPI

MHCD LLC

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1346564754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2008004482 Issued in CA
Legal business name
MHCD LLC
Practice address
11828 Rancho Bernardo Rd
Suite 201
San Diego, CA 92128-1912
Phone
(858) 385-9399
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Larry Burns I
Title
Director
Phone
(858) 385-9399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X CA
Substance Abuse Rehabilitation Facility 324500000X 2008004482 CA Primary

Addresses

Primary practice location

11828 Rancho Bernardo Rd
Suite 201
San Diego, CA 92128-1912

Mailing address

555 W Country Club LN
Suite C230
Escondido, CA 92026-1226
Phone (760) 751-2889

Other names 1

  • The Crosby Center Other name

National Provider Directory

National Provider Directory

Locations

555 W Country Club Ln
Ste C230
Escondido, CA 92026

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346564754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W COUNTRY CLUB LN",
            "address_2": "SUITE C230",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261226",
            "telephone_number": "760-751-2889",
            "fax_number": "858-385-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 RANCHO BERNARDO RD",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281912",
            "telephone_number": "858-385-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHCD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-385-9399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "2008004482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Crosby Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.