BH-VC Opco SP, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BH-VC OPCO SP, LLC

Doing business as

Jackson House Santa Paula

Practice address

811 W Telegraph Rd
Santa Paula, CA 93060-5400

Phone

(619) 889-3399

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Chad Engbrecht

Title

Chief Development Officer

Phone

(858) 254-2510

Specialties & licenses 1

Addresses

Other names 1

• Jackson House Santa Paula Doing business as

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1538761010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421535",
            "telephone_number": "858-254-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W TELEGRAPH RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930605400",
            "telephone_number": "619-889-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH-VC OPCO SP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ENGBRECHT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "858-254-2510"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson House Santa Paula",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson House Santa Paula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris L Bartelson, OD
• Michael Bauman
• Angela Marie Bautista, PPS
• Cynthia Beck, LMFT
• Maria Bedolla
• BH/BC Opco SP LLC Jacksonhouse
• Elizabeth Leslie Bidula, PHARMD.
• Bio-Medical Applications of California, Inc. (Bma Santa Paula)
• Gregory Paul Biolley, LCSW
• Michael Cordon Bishop, PT, DPT

• Mental Illness Community Based Residential Treatment Facility in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.