Active NPI
Child Have,N Inc
- Community/Behavioral Health Agency
- Vallejo, CA
National Provider Identifier
1750839015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFC32744
- Legal business name
- CHILD HAVE,N INC
- Practice address
- 236 Georgia St
Ste 202
Vallejo, CA 94590-5991 - Phone
- (707) 425-5744
- Fax
- (707) 425-5162
- NPI assigned
- Sep 15, 2016
- 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
- Jane Johnson
- Title
- Executive Director
- Phone
- (707) 425-5744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MFC32744 | CA | Primary |
Addresses
Primary practice location
236 Georgia St
Ste 202
Vallejo, CA 94590-5991
Mailing address
801 Empire St
Fairfield, CA 94533-5702
Phone (707) 425-5744
Other names 1
- Child Haven - Vallejo
National Provider Directory
National Provider Directory- Tax ID family
- Child Haven - Vallejo
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1851508378
Locations
801 Empire St
Fairfield, CA 94533
Phone (707) 425-5744
236 Georgia St
Ste 202
Vallejo, CA 94590
Phone (707) 425-5744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473897600000",
"number": "1750839015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335702",
"telephone_number": "707-425-5744",
"fax_number": "707-425-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 GEORGIA ST",
"address_2": "STE 202",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905991",
"telephone_number": "707-425-5744",
"fax_number": "707-425-5162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD HAVE,N INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "707-425-5744"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "MFC32744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Child Haven - Vallejo",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.