Organization Active NPI

Westside Community Mental Health, Inc.

  • Home Health Agency
  • San Francisco, CA
National Provider Identifier
1902962400
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WESTSIDE COMMUNITY MENTAL HEALTH, INC.
Practice address
245 11TH St
Third Floor
San Francisco, CA 94103-3732
Phone
(415) 355-0311
Fax
(415) 355-0349
NPI assigned
Dec 29, 2006
Organization subpart
Yes
Parent organization
WESTSIDE COMMUNITY MENTAL HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mrs. Bea Stephens, LCSW
Title
Interim Chief Executive Officer
Phone
(415) 431-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

245 11TH St
Third Floor
San Francisco, CA 94103-3732

Mailing address

1153 Oak St
San Francisco, CA 94117-2216
Phone (415) 431-9000

Other identifiers 1

IdentifierTypeStateIssuer
AYD000280MedicaidCA

Other names 1

  • Westside AIDS Case Management and Home Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Westside Community Mental Health Inc14 organizations share this tax ID, including this one
Part of
Westside Community Mental Health Inc

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1902962400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 OAK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172216",
            "telephone_number": "415-431-9000",
            "fax_number": "415-431-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 11TH ST",
            "address_2": "THIRD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033732",
            "telephone_number": "415-355-0311",
            "fax_number": "415-355-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE COMMUNITY MENTAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE COMMUNITY MENTAL HEALTH CENTER, INC",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BEA",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-431-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AYD000280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside AIDS Case Management and Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

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