Active NPI
BH-RC Opco, LLC
- Mental Illness Community Based Residential Treatment Facility
- Temecula, CA
National Provider Identifier
1851854657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- BH-RC OPCO, LLC
- Practice address
- 28999 Old Town Front St
Temecula, CA 92590-5805 - Phone
- (858) 254-2510
- NPI assigned
- Apr 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Engbrecht
- Title
- Vice President
- Phone
- (858) 254-2510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
28999 Old Town Front St
Temecula, CA 92590-5805
Mailing address
7050 Parkway Dr
La Mesa, CA 91942-1535
Other names 1
- Jackson House Temecula
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2317934 | BH-RC Opco, LLC | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
28999 Old Town Front St
Temecula, CA 92590
Phone (888) 255-9280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554768000000",
"number": "1851854657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 PARKWAY DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28999 OLD TOWN FRONT ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905805",
"telephone_number": "858-254-2510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BH-RC OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A",
"authorized_official_last_name": "ENGBRECHT",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "858-254-2510"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jackson House Temecula",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.