NPIMap

Organization Active NPI

Healthright 360

Doing business as Women's Recovery Association - Hillside House One

  • Mental Illness Community Based Residential Treatment Facility
  • San Mateo, CA
National Provider Identifier
1407118805
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
410002IN Issued in CA
Legal business name
HEALTHRIGHT 360
Doing business as
Women's Recovery Association - Hillside House One
Practice address
27 N Humboldt St
Unit a & Unit B
San Mateo, CA 94401-2923
Phone
(650) 348-6603
NPI assigned
Jun 12, 2012
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Vitka Eisen
Title
Ceo
Phone
(415) 762-1558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X 410002IN CA Primary

Addresses

Primary practice location

27 N Humboldt St
Unit a & Unit B
San Mateo, CA 94401-2923

Mailing address

1735 Mission St
San Francisco, CA 94103-2417
Phone (415) 762-3712

Other names 1

  • Women's Recovery Association - Hillside House One Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haight Ashbury Free Clinicsinc100 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1407118805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032417",
            "telephone_number": "415-762-3712",
            "fax_number": "415-865-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N HUMBOLDT ST",
            "address_2": "UNIT A & UNIT B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012923",
            "telephone_number": "650-348-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHRIGHT 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "VITKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-762-1558"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "410002IN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Recovery Association - Hillside House One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.