Organization Active NPI

Truth Recovery Foundation

  • Children's Substance Abuse Rehabilitation Facility
  • San Jose, CA
National Provider Identifier
1942758909
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
430080AN Issued in CA
Legal business name
TRUTH RECOVERY FOUNDATION
Practice address
810 Palm St
San Jose, CA 95110-3030
Phone
(408) 500-6229
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Wiley David Thorne
Title
Clinical Director
Phone
(650) 703-9185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 430080AN CA Primary

Addresses

Primary practice location

810 Palm St
San Jose, CA 95110-3030

Mailing address

810 Palm St
San Jose, CA 95110-3030
Phone (408) 500-6229

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1942758909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PALM ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103030",
            "telephone_number": "408-500-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PALM ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103030",
            "telephone_number": "408-500-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUTH RECOVERY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "650-703-9185"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "430080AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.