NPIMap

Organization Active NPI

Project Enable

  • Mental Illness Community Based Residential Treatment Facility
  • San Diego, CA
National Provider Identifier
1609184035
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PROJECT ENABLE
Practice address
286 Euclid Ave Ste 102
San Diego, CA 92114-3611
Phone
(619) 266-2111
Fax
(619) 266-0496
NPI assigned
Sep 20, 2010
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HOUSE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Evelina Jaime, LCSW
Title
Director
Phone
(619) 266-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

286 Euclid Ave Ste 102
San Diego, CA 92114-3611

Mailing address

286 Euclid Ave Ste 102
San Diego, CA 92114-3611
Phone (619) 266-2111

National Provider Directory

National Provider Directory
Tax ID family
The Neighborhood House Association7 organizations share this tax ID, including this one
Part of
The Neighborhood House Association

Other organizations with this tax ID 6

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

Locations

286 Euclid Ave
Ste 102
San Diego, CA 92114
Phone (619) 266-2111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1609184035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 EUCLID AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143611",
            "telephone_number": "619-266-2111",
            "fax_number": "619-266-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 EUCLID AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143611",
            "telephone_number": "619-266-2111",
            "fax_number": "619-266-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT ENABLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HOUSE ASSOCIATION",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "EVELINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-266-2111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.