Organization Active NPI

Harvey House, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
National Provider Identifier
1508393356
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HARVEY HOUSE, INC.
Practice address
3512 Nolan St
San Bernardino, CA 92407-6250
Phone
(951) 934-6166
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Stacey Harvey Fuller
Title
Ceo
Phone
(951) 708-8385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3512 Nolan St
San Bernardino, CA 92407-6250

Mailing address

3512 Nolan St
San Bernardino, CA 92407-6250

National Provider Directory

National Provider Directory
Tax ID family
Harvey House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1508393356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 NOLAN ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 NOLAN ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076250",
            "telephone_number": "951-934-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "HARVEY FULLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-708-8385"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.