Knotts Group Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KNOTTS GROUP HOME

Practice address

1505 W Highland Ave
San Bernardino, CA 92411-1215

Phone

(909) 880-0600

Fax

(909) 473-1918

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By 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

Ms. Gwen Knotts, MSN

Title

Ceo

Phone

(909) 880-0600

Specialties & licenses 1

Addresses

Tax ID family

Knotts Family Agency3 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.

• Knotts Family & Parenting Institute

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1053512970
  NPD tax ID
• Knotts Family Agency

  • Foster Care Agency
  • San Bernardino, CA
  • NPI 1407248297
  NPD tax ID

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1467622290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111215",
            "telephone_number": "909-880-0600",
            "fax_number": "909-473-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111215",
            "telephone_number": "909-880-0600",
            "fax_number": "909-473-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTTS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "KNOTTS",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-880-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Knight, RPH
• Rochelle Renee Knight, LVN
• Heidi D Knipe Laird, PHD
• Knotts Family & Parenting Institute
• Knotts Family Agency
• Gwendolyn K Knotts
• Jessa Marie Koch, PHARMD
• Christian Koeu
• Kohut Psychiatric Medical Group Inc
• Koinonia Foster Homes, Inc. (Koinonia Family Services)

• Community/Behavioral Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.