NPIMap

Organization Active NPI

The Twelfth Step House of San Diego, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1881723344
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
370003AN Issued in CA
Legal business name
THE TWELFTH STEP HOUSE OF SAN DIEGO, INC.
Practice address
5855 Streamview Dr
San Diego, CA 92105-3910
Phone
(619) 287-5460
Fax
(619) 287-5040
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Larry Dodson, CADC II, CATC
Title
Administrator
Phone
(619) 287-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 370003AN CA Primary

Addresses

Primary practice location

5855 Streamview Dr
San Diego, CA 92105-3910

Mailing address

5855 Streamview Dr
San Diego, CA 92105-3910
Phone (619) 287-5460

Other names 1

  • HEARTLAND HOUSE Doing business as

National Provider Directory

National Provider Directory

Locations

5855 Streamview Dr
San Diego, CA 92105
Phone (619) 287-5460

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1881723344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 STREAMVIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053910",
            "telephone_number": "619-287-5460",
            "fax_number": "619-287-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 STREAMVIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053910",
            "telephone_number": "619-287-5460",
            "fax_number": "619-287-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TWELFTH STEP HOUSE OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-287-5460",
        "authorized_official_credential": "CADC II, CATC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370003AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.