NPIMap

Organization Active NPI

Mount St. Joseph-St. Elizabeth

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
National Provider Identifier
1710037650
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
380081BN Issued in CA
Legal business name
MOUNT ST. JOSEPH-ST. ELIZABETH
Practice address
1615 Broderick St
San Francisco, CA 94115-2912
Phone
(415) 567-8370
Fax
(415) 292-5531
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Sister Estela Morales
Title
Executive Director
Phone
(415) 351-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 380081BN CA Primary

Addresses

Primary practice location

1615 Broderick St
San Francisco, CA 94115-2912

Mailing address

100 Masonic Ave
San Francisco, CA 94118-4415
Phone (415) 567-8370

Other names 1

  • Epiphany House Other name

National Provider Directory

National Provider Directory
Tax ID family
Mount St Joseph7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1710037650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MASONIC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184415",
            "telephone_number": "415-567-8370",
            "fax_number": "415-292-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BRODERICK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152912",
            "telephone_number": "415-567-8370",
            "fax_number": "415-292-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ST. JOSEPH-ST. ELIZABETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "SISTER ESTELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-351-4045"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "380081BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epiphany House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 2013; 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.