St. Vincent de Paul Village, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

370110AN Issued in CA

Legal business name

ST. VINCENT DE PAUL VILLAGE, INC.

Doing business as

Father Joe's Villages

Practice address

16 15TH Street
San Diego, CA 92101-7638

Phone

(619) 446-2100

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Jimmy Vargas

Title

President and Ceo

Phone

(619) 446-2100

Specialties & licenses 1

Addresses

Other names 1

• Father Joe's Villages Doing business as

Tax ID family

St Vincent de Paul Village Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• St. Vincent de Paul Village, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1225995699
  NPD tax ID
• St. Vincent de Paul Village, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1780556167
  NPD tax ID

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1649655812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023332",
            "telephone_number": "619-446-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 15TH STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017638",
            "telephone_number": "619-446-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT DE PAUL VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "619-446-2100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "370110AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Father Joe's Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailee St. Louis
• St. Paul'S Episcopal Home, Inc.
• Michelle Leigh St. Romain, MD
• St. Vincent de Paul Village, Inc
• St. Vincent de Paul Village, Inc
• St. Vincent de Paul Village, Inc.
• Donna Anderson St.Clair, MA, MFT
• Taylor Marie St.Clair, IDC
• Torrie Reese St.Julien, DNP
• Shawn M Sta Ines

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.