Fort Help, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

01-95 Issued in CA

Legal business name

FORT HELP, LLC

Doing business as

Lifeline Treatment Services, Inc.

Practice address

9442 International Blvd
Oakland, CA 94603-1444

Phone

(510) 777-8448

Fax

(510) 727-9761

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By 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

Stan Sharma, PH.D.

Title

Executive Director

Phone

(661) 254-6630

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Treatment Services, Inc. Doing business as

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1417214727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9442 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946031444",
            "telephone_number": "510-777-8448",
            "fax_number": "510-727-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT HELP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-254-6630",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "01-95",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Treatment Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Forst
• Brynnen Forster, MD
• Mercedes Forster, MD
• Nancy Silliphant Forster, MSW
• Alyssa Forsythe
• Victoria Fort
• Khalil Cedric Fortenberry, AMFT
• Frances Fortini
• Reena Reyes Fortune, RN-BSN
• Forward Ethos Counseling, PC

• Methadone Clinic in Oakland, CA
• Providers in Oakland, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.