Ndllj Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NDLLJ INC

Practice address

28012 Moosa Creek Way
Valley Center, CA 92082-0045

Phone

(442) 341-6400

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Honora JenkinsNPI 1558247858

Title

Ceo

Phone

(760) 697-0497

Specialties & licenses 1

Addresses

Other names 1

• Lilac Recovery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Harmony Grove Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ndllj Inc

  • Substance Abuse Rehabilitation Facility
  • Escondido, CA
  • NPI 1013402908
  NPD tax ID
• Ndllj Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Marcos, CA
  • NPI 1558946731
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Honora Jenkins, LAADC

  • Addiction (Substance Use Disorder) Counselor
  • Escondido, CA
  • NPI 1558247858
  NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1467237172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E VALLEY PKWY STE 3",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272322",
            "telephone_number": "760-697-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28012 MOOSA CREEK WAY",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920820045",
            "telephone_number": "442-341-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDLLJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HONORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-697-0497"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Msddo Inc
• Andres Jesus Munoz
• N8 Inc
• National Healthcare & Housing Solutions
• Sahar Naz, PHARMD
• Neighborhood Healthcare
• Neighborhood Healthcare
• Nicholas Hoang Nguyen, FNP-C
• Peter K Nguyen, PHARMD
• Nite Owl Doula, LLC

• Substance Abuse Rehabilitation Facility in Valley Center, CA
• Providers in Valley Center, 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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.