Cielo House Inc
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Moss Beach, CA
NPI 1972967974 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1972967974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- CIELO HOUSE INC
- Practice address
- 323 Cypress Ave
Moss Beach, CA 94038 - Phone
- (650) 563-9442
- Fax
- (866) 398-5858
- NPI assigned
- Apr 6, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- CIELO HOUSE INC
Authorized official
- Name
- Elliott Richelson, M.D.
- Title
- Director, President
- Phone
- (252) 733-7374
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Cielo House Inc
- Part of
- Cielo House Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
323 Cypress Ave
Moss Beach, CA 94038
Mailing address
750 El Camino Real
Burlingame, CA 94010
Phone (650) 739-6001
Other providers in Moss Beach, CA
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- Monica Candelore
- Cep America - California
- Cielomar Recovery, Inc.
- Cove Physical Therapy, Inc.
- Erica Elizabeth Falk
- Suzan R Goodman
- Nancy Sue Harris
All providers in Moss Beach, CA · Mental Illness Community Based Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.