Eleventh Hour Rehabilitation Programs

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

100009EP Issued in CA

Legal business name

ELEVENTH HOUR REHABILITATION PROGRAMS

Practice address

5639 E Park Circle Dr
Fresno, CA 93727-5413

Phone

(559) 454-1819

Fax

(559) 454-1928

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Jessie Robb

Title

Executive Director

Phone

(559) 454-1819

Specialties & licenses 1

Addresses

Other names 1

• Eleventh Hour Other name

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861610735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 E PARK CIRCLE DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275413",
            "telephone_number": "559-454-1819",
            "fax_number": "559-454-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 E PARK CIRCLE DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275413",
            "telephone_number": "559-454-1819",
            "fax_number": "559-454-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVENTH HOUR REHABILITATION PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-454-1819"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100009EP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eleventh Hour",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.