MALAIKA HOUSE


Address: 819 & 823 Jamie Lane, East Palo Alto, CA 94303
Phone: 6504626999

MALAIKA HOUSE (NPI# 1083041636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083041636
Entity Type Organization
Organization Name MALAIKA HOUSE
Practice Address 819 & 823 Jamie Lane
East Palo Alto
CA 94303
Practice Telephone 6504626999
Practice Fax Number 6504621055
Mailing Telephone 6504626999
Mailing Fax Number 6504621055
Enumeration Date 2013-09-27
Last Update Date 2014-01-31
Authorized Official Name ELIZABETH CHEWNING80 (ADMINISTRATION)
Authorized Official Telephone 6504626995
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
410027BN CA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA REHABILITATION SERVICES 410027BN 01

Office Location

Street Address 819 & 823 JAMIE LANE
City EAST PALO ALTO
State CA
Zip Code 94303

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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

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Competitor

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City EAST PALO ALTO
Zip Code 94303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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