Merito House, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

360098AP Issued in CA

Legal business name

MERITO HOUSE, LLC

Practice address

911 Church St
Redlands, CA 92374-3549

Phone

(909) 243-7321

Fax

(909) 243-7325

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Swanson, CADAC II, BS, MBA

Title

Ceo

Phone

(909) 243-7321

Specialties & licenses 1

Addresses

Tax ID family

Merito House LLC2 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.

• Merito House Residential Treatment Program

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
  • NPI 1780956581
  NPD tax ID

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1770907495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ARROW HWY UNIT 220",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917857008",
            "telephone_number": "909-243-7321",
            "fax_number": "909-243-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CHURCH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743549",
            "telephone_number": "909-243-7321",
            "fax_number": "909-243-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERITO HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-243-7321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADAC II, BS, MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360098AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Darlene Mendoza, PA-C
• Xianai Meng, LAC
• Susan Menocal-Davis
• Szabolcs S Mera, M.D.
• Henry William Mercado, D.D.S.
• Linda Metzger, PA
• Lizette Metzger
• Lisa Meyer-Angles, LCSW
• Kathryn M Michael
• Michelle Wang DDS, Dental Professional Corporation

• Substance Abuse Rehabilitation Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.