NPIMap

Organization Active NPI

Intervention 911

Doing business as KSC Detox

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
National Provider Identifier
1811460488
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
INTERVENTION 911
Doing business as
KSC Detox
Practice address
501 N Cantera Cir
Palm Springs, CA 92262-6226
Phone
(866) 888-4911
NPI assigned
Jan 7, 2019
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Eric McLaughlinNPI 1295191070
Title
Ceo
Phone
(323) 401-3660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

501 N Cantera Cir
Palm Springs, CA 92262-6226

Mailing address

501 N Cantera Cir
Palm Springs, CA 92262-6226

Other names 1

  • KSC Detox Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intervention 9114 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1811460488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CANTERA CIR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CANTERA CIR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626226",
            "telephone_number": "866-888-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION 911",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-401-3660"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KSC Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.