NPIMap

Organization Active NPI

MHN Government Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mountain View, CA
National Provider Identifier
1972039725
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
43-014-01-120 Issued in CA
Legal business name
MHN GOVERNMENT SERVICES LLC
Practice address
625 Ellis St
Suite 100
Mountain View, CA 94043-2226
Phone
(650) 965-7345
Fax
(650) 988-0175
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Billy Maynard
Title
President & Ceo
Phone
(916) 353-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 43-014-01-120 CA Primary

Addresses

Primary practice location

625 Ellis St
Suite 100
Mountain View, CA 94043-2226

Mailing address

2025 Aerojet Rd
Rancho Cordova, CA 95742-6418
Phone (916) 353-6100

National Provider Directory

National Provider Directory
Tax ID family
MHN Government Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

625 Ellis St
Ste 100
Mountain View, CA 94043
Phone (650) 965-7345

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1972039725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 AEROJET RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426418",
            "telephone_number": "916-353-6100",
            "fax_number": "916-353-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ELLIS ST",
            "address_2": "SUITE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940432226",
            "telephone_number": "650-965-7345",
            "fax_number": "650-988-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHN GOVERNMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "916-353-6100"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "43-014-01-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.