Organization Active NPI

Kuumba House

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Antioch, CA
National Provider Identifier
1538068457
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
KUUMBA HOUSE
Practice address
4092 Montgomery Hill Dr
Antioch, CA 94531-8275
Phone
(925) 318-0845
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JORDAN HOUSE OF UMOJAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Mrs. Betheny Jordan
Title
Coo
Phone
(925) 318-0845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

4092 Montgomery Hill Dr
Antioch, CA 94531-8275

Mailing address

PO Box 1271
Pittsburg, CA 94565-0127
Phone (925) 318-0845

NPI Registry JSON

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1538068457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1271",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945650127",
            "telephone_number": "925-318-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 MONTGOMERY HILL DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318275",
            "telephone_number": "925-318-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUUMBA HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORDAN HOUSE OF UMOJA",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BETHENY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "925-318-0845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.