NPIMap

Organization Active NPI

Odd-Fellow Rebekah Children'S Home of California

  • Adolescent and Children Mental Health Clinic/Center
  • Gilroy, CA
National Provider Identifier
1750110706
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ODD-FELLOW REBEKAH CHILDREN'S HOME OF CALIFORNIA
Practice address
750 W 10TH St
Gilroy, CA 95020-6333
Phone
(408) 846-2100
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Jennifer Dang Malone
Title
Chief Compliance Officer
Phone
(408) 846-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

750 W 10TH St
Gilroy, CA 95020-6333

Mailing address

290 Ioof Ave
Gilroy, CA 95020-5204

Other names 1

  • Rebekah Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odd Fellow-Rebekah Children'S Home of California16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1750110706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W 10TH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206333",
            "telephone_number": "408-846-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD-FELLOW REBEKAH CHILDREN'S HOME OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "408-846-2141"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebekah Children's Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebekah Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.