Jherndons LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

330114AP Issued in CA

Legal business name

JHERNDONS LLC

Practice address

559 S Palm Canyon Dr
Palm Springs, CA 92264-7468

Phone

(559) 901-4657

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ADDICTION THERAPEUTIC SERVICESAs reported in NPPES

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

Authorized official

Name

Josie Herndon

Title

Ceo

Phone

(760) 322-1777

Specialties & licenses 1

Addresses

Tax ID family

Jherndons LLC2 organizations share this tax ID, including this one

Part of

Jherndons LLC

Other organizations with this tax ID 1

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

• J.Herndons, LLC

  dba Addiction Therapeutic Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rancho Mirage, CA
  • NPI 1427486158
  NPD tax ID

Locations

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1841745122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 S PALM CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647468",
            "telephone_number": "760-322-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 S PALM CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647468",
            "telephone_number": "559-901-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHERNDONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDICTION THERAPEUTIC SERVICES",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-322-1777"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "330114AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo Jauregui-Reynoso
• Ernest A Jeppsen, MD
• Jamye J. Jesser, PSY.D.
• Beverly Jewell, LPCC
• Jewish Family Service of the Desert
• Linda Jimenez, ED.S, PPS
• Wendy Jimenez, PHARMD
• John D. Stansell, M.D., Inc
• John H. Lake, D.D.S. Inc
• Aliana Renee Johns, NP

• Point of Service in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.