Harvest House Transitional Residence, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HARVEST HOUSE TRANSITIONAL RESIDENCE, INC.

Practice address

146 Candy Dr
Vallejo, CA 94589-1403

Phone

(707) 888-4058

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Trenny McCollumn

Title

Ceo

Phone

(800) 577-7358

Specialties & licenses 4

Addresses

Other names 1

• Harvest House Transitional Residence, Inc. Former legal business name

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1710691514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9063",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945919063",
            "telephone_number": "707-888-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CANDY DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945891403",
            "telephone_number": "707-888-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Brisbane Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945337794",
            "country_code": "US",
            "telephone_number": "707-888-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Dryden Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945916636",
            "country_code": "US",
            "telephone_number": "707-888-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARVEST HOUSE TRANSITIONAL RESIDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUMN",
        "authorized_official_first_name": "TRENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-577-7358"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest House Transitional Residence, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Penny Faye Harris
• Travis M. Harris, M. D.
• Heavynlei Hart
• David Hartfield-Dyels, M.DIV
• Kristen L Hartley, MD
• Diana Harvey
• Husni N. Hasan, MD
• Mikal Demar Hasan
• Russell Hatch, CCMA
• Susan Hattori-Oyama, MD

• Assisted Living Facility in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.