NPIMap

Organization Active NPI

United Early Learning & Family Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grandview, WA
National Provider Identifier
1801405642
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
UNITED EARLY LEARNING & FAMILY CENTER LLC
Practice address
106 N Elm St
Grandview, WA 98930-1009
Phone
(509) 402-9090
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Mr. Humberto C Rodriguez
Title
Founder
Phone
(509) 305-1542

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

106 N Elm St
Grandview, WA 98930-1009

Mailing address

1431 Grandview Pavement Rd
Grandview, WA 98930-9234
Phone (509) 305-1542

Other practice location 1

201 E 2nd St
Grandview, WA 98930-1347
Phone (509) 402-9090

Other identifiers 1

IdentifierTypeStateIssuer
2166923MedicaidWA

Other names 1

  • United Family Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250630001383 WA Part B Supplier - Clinic/Group Practice 5698288082 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

201 E 2nd St
Grandview, WA 98930
Phone (509) 402-9090

106 N Elm St
Grandview, WA 98930
Phone (509) 402-9090

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1801405642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 GRANDVIEW PAVEMENT RD",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989309234",
            "telephone_number": "509-305-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N ELM ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301009",
            "telephone_number": "509-402-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "WA",
            "postal_code": "989301347",
            "country_code": "US",
            "telephone_number": "509-402-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED EARLY LEARNING & FAMILY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "509-305-1542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166923",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Family Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.