NPIMap

Organization Active NPI

Elijah House Foundation

  • Adult Mental Health Clinic/Center
  • Oroville, CA
National Provider Identifier
1780203802
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ELIJAH HOUSE FOUNDATION
Practice address
2060 Park Ave
Oroville, CA 95966-5350
Phone
(530) 815-9558
NPI assigned
Apr 9, 2020
Organization subpart
Yes
Parent organization
ELIJAH HOUSE SLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Amanda Balzli
Title
Cfo/Human Resource Manager
Phone
(530) 682-0266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2060 Park Ave
Oroville, CA 95966-5350

Mailing address

2060 Park Ave
Oroville, CA 95966-5350
Phone (530) 815-9558

National Provider Directory

National Provider Directory
Tax ID family
Elijah House Counseling Solutions4 organizations share this tax ID, including this one
Part of
Elijah House Counseling Solutions

Other organizations with this tax ID 3

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

Locations

2167 Montgomery St
Ste E
Oroville, CA 95965

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1780203802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 PARK AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959665350",
            "telephone_number": "530-815-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 PARK AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959665350",
            "telephone_number": "530-815-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH HOUSE FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIJAH HOUSE SLE",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "BALZLI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CFO/HUMAN RESOURCE MANAGER",
        "authorized_official_telephone_number": "530-682-0266"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.