Active NPI
Kuumba House
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Antioch, CA
National Provider Identifier
1538068457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- JORDAN HOUSE OF UMOJA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.