Organization Active NPI

Child Have,N Inc

  • Community/Behavioral Health Agency
  • Vallejo, CA
National Provider Identifier
1750839015
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC32744 Issued in CA
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

Updated by the provider on Sep 15, 2016

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Haven - Vallejo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.