NPIMap

Organization Active NPI

Jelani, Inc

Doing business as Jelani Family Program

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
National Provider Identifier
1619018314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
380045DN Issued in CA
Legal business name
JELANI, INC
Doing business as
Jelani Family Program
Practice address
1638 Kirkwood Ave
San Francisco, CA 94124-2137
Phone
(415) 671-1165
Fax
(415) 970-0438
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Margaret Gold
Title
Executive Director
Phone
(415) 822-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 380045DN CA Primary

Addresses

Primary practice location

1638 Kirkwood Ave
San Francisco, CA 94124-2137

Mailing address

1601 Quesada Ave
San Francisco, CA 94124-2334
Phone (415) 822-5977

Other identifiers 1

IdentifierTypeStateIssuer
38502OtherCAREPORTING UNIT NUMBER

Other names 1

  • Jelani Family Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jelani Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

  • Jelani, Inc
    • Substance Abuse Rehabilitation Facility
    • San Francisco, CA
    • NPI 1093240012
    NPD tax ID
  • Jelani, Inc

    dba Jelani Mission Recovery House

    • Substance Abuse Rehabilitation Facility
    • San Francisco, CA
    • NPI 1306986377
    NPD tax ID
  • Jelani, Inc

    dba Jelani House

    • Substance Abuse Rehabilitation Facility
    • San Francisco, CA
    • NPI 1548300551
    NPD tax ID
  • Jelani, Inc
    • Community/Behavioral Health Agency
    • San Francisco, CA
    • NPI 1770623050
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619018314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 QUESADA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242334",
            "telephone_number": "415-822-5977",
            "fax_number": "415-822-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 KIRKWOOD AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242137",
            "telephone_number": "415-671-1165",
            "fax_number": "415-970-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELANI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-822-5940",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "380045DN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REPORTING UNIT NUMBER",
            "identifier": "38502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jelani Family Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.