NPIMap

Organization Active NPI

MHN Government Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Marcos, CA
National Provider Identifier
1467988758
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
37-006-01-120 Issued in CA
Legal business name
MHN GOVERNMENT SERVICES LLC
Practice address
1050 Los Vallecitos Blvd
Suite 109
San Marcos, CA 92069-1469
Phone
(760) 752-5328
Fax
(760) 752-5390
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Mr. Billy Maynard
Title
President & Ceo
Phone
(916) 353-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 37-006-01-120 CA Primary

Addresses

Primary practice location

1050 Los Vallecitos Blvd
Suite 109
San Marcos, CA 92069-1469

Mailing address

2025 Aerojet Rd
Rancho Cordova, CA 95742-6418
Phone (916) 353-6100

National Provider Directory

National Provider Directory
Tax ID family
MHN Government Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1050 Los Vallecitos Blvd
Ste 109
San Marcos, CA 92069
Phone (760) 752-5328

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1467988758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 AEROJET RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426418",
            "telephone_number": "916-353-6100",
            "fax_number": "916-353-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LOS VALLECITOS BLVD",
            "address_2": "SUITE 109",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691469",
            "telephone_number": "760-752-5328",
            "fax_number": "760-752-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHN GOVERNMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "916-353-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "37-006-01-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.