North County Serenity House,Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

01-980444 Issued in CA

Legal business name

NORTH COUNTY SERENITY HOUSE,INC.

Practice address

240 S Hickory St Ste 210
Escondido, CA 92025-4357

Phone

(760) 233-4533

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norma Suzanne WoelkNPI 1639352149

Title

Program Director

Phone

(760) 741-5098

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norma Suzanne Woelk, CAS II

  • Addiction (Substance Use Disorder) Counselor
  • Escondido, CA
  • NPI 1639352149
  NPD (past) Authorized official
• Kimberly Dawn Guire, BSW

  • Addiction (Substance Use Disorder) Counselor
  • Escondido, CA
  • NPI 1851578801
  NPD (past)
• Andrea Kinley, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
  • NPI 1902078744
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1578746103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S FIG ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254401",
            "telephone_number": "760-415-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S HICKORY ST STE 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254357",
            "telephone_number": "760-233-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY SERENITY HOUSE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "WOELK",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "760-741-5098"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "01-980444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North County Pain Institute
• North County Radiology Associates Inc
• North County Radiology Escondido, LLC
• North County Radiology Escondido, LLC
• North County Real Dental Care
• North County Specialty Partners
• North County Trauma Associates, Inc. a Medical Group
• North County Vascular Center a Ca Professional Medical Corporation
• North County Villa, Inc.
• North Star Act

• Substance Abuse Rehabilitation Facility in Escondido, CA
• Providers in Escondido, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.