Active NPI
Bii Aj Our House, LLC
Doing business as AJ's Amethyst House
- Substance Abuse Rehabilitation Facility
- San Jacinto, CA
National Provider Identifier
1720417892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- BII AJ OUR HOUSE, LLC
- Doing business as
- AJ's Amethyst House
- Practice address
- 1119 W 7TH St
San Jacinto, CA 92582-3856 - Phone
- (951) 294-5870
- Fax
- (951) 294-5806
- NPI assigned
- Nov 8, 2013
- Last updated
- Nov 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Arlean Jean Truax
- Title
- Executive Director
- Phone
- (951) 294-5870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1119 W 7TH St
San Jacinto, CA 92582-3856
Mailing address
43500 Ridge Park Dr
Suite 101
Temecula, CA 92590-3624
Phone (951) 294-5870
Other names 1
- AJ's Amethyst House
National Provider Directory
National Provider Directory- Tax ID family
- Aj's Amethyst House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- San Jacinto, CA
- NPI 1568803252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1720417892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43500 RIDGE PARK DR",
"address_2": "SUITE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903624",
"telephone_number": "951-294-5870",
"fax_number": "951-294-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W 7TH ST",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925823856",
"telephone_number": "951-294-5870",
"fax_number": "951-294-5806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BII AJ OUR HOUSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "TRUAX",
"authorized_official_first_name": "ARLEAN",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "951-294-5870",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AJ's Amethyst House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.