Jesse Lee Foshay

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Practice address

1866 B St Ste 101
Hayward, CA 94541-3184

Phone

(510) 247-8200

NPI assigned

May 14, 2024

Last updated

May 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Services, Inc

  dba Project Eden

  • Children's Substance Abuse Rehabilitation Facility
  • Hayward, CA
  • NPI 1114104411

  Substance Abuse Treatment, Children

  NPD (past)

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1922857721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SURREY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313006",
            "telephone_number": "415-424-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 B ST STE 101",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413184",
            "telephone_number": "510-247-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSHAY",
        "first_name": "JESSE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chontece Marie Ford
• Nicole Ford
• Sherri Ford
• Natalie A. Forrest, MFT
• Rafael Forrett
• Khiry Devon Foster
• Letoshia Foster, FNP
• Emma Fournier
• Tauheedah Aaliyah Fowler
• Lynnette Linnen Foy, RAS/MFT

• Children's Substance Abuse Rehabilitation Facility in Hayward, CA
• Providers in Hayward, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.