MHN GOVERNMENT SERVICES LLC (NPI# 1972039725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972039725 |
| Entity Type | Organization |
| Organization Name | MHN GOVERNMENT SERVICES LLC |
| Practice Address |
625 Ellis St Suite 100 Mountain View CA 94043-2226 |
| Mailing Address |
2025 Aerojet Rd Rancho Cordova CA 95742-6418 |
| Practice Telephone | 6509657345 |
| Practice Fax Number | 6509880175 |
| Mailing Telephone | 9163536100 |
| Mailing Fax Number | 9163536809 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | BILLY MAYNARD (PRESIDENT & CEO) |
| Authorized Official Telephone | 9163536100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
43-014-01-120 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457887291 | Mhn Government Services LLC | Clinic/Center | 2847b Whipple Rd, Union City, CA 94587-1233 | 2017-05-11 |
| 1023544863 | Mhn Government Services LLC | Clinic/Center | 344 Pendleton Way, Oakland, CA 94621-2102 | 2017-05-11 |
| 1194251934 | Mhn Government Services LLC | Clinic/Center | 7375 Amador Valley Blvd, Suite 203, Dublin, CA 94568-2402 | 2017-05-11 |
| 1467988758 | Mhn Government Services LLC | Clinic/Center | 1050 Los Vallecitos Blvd, Suite 109, San Marcos, CA 92069-1469 | 2017-05-04 |
| 1134655970 | Mhn Government Services LLC | Clinic/Center | 1941 Ofarrell St, Suite 114, San Mateo, CA 94403-1340 | 2017-05-11 |
| 1962938357 | Mhn Government Services LLC | Clinic/Center | 2600 Stanwell Dr, Suite 100, Concord, CA 94520-4862 | 2017-05-04 |
| 1679009062 | Mhn Government Services LLC | Clinic/Center | 11299 San Pablo Ave, Suite W, El Cerrito, CA 94530-2184 | 2017-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MHN Government Services LLC | 2370 Kerner Boulevard, San Rafael, CA 94901 |
| System for Award Management (SAM) Entities | MHN GOVERNMENT SERVICES LLC | 2370 Kerner Blvd, San Rafael, CA 94901-5546 |
| Connecticut Business Registrations | Mhn Government Services LLC | 2370 Kerner Boulevard, San Rafael, CA 94901 |
| Oregon Corporations, Companies and Business Names | MHN GOVERNMENT SERVICES LLC | 2370 Kerner Boulevard, San Rafael, CA 94901 |
| Iowa Business Entities | MHN GOVERNMENT SERVICES LLC | 2370 Kerner Boulevard, San Rafael, CA 94901 |
| Washington State Corporations | MHN GOVERNMENT SERVICES LLC | 2370 Kerner Blvd, San Rafael, CA 94901-5613 |
| Virginia Business Entities | MHN Government Services LLC | 11971 Foundation Place Building C, Rancho Cordova, California 95670 |
| Street Address |
625 ELLIS ST SUITE 100 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94043-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498211 | Sally A Clark | Marriage & Family Therapist | 2462 Alvin St, Mountain View, CA 94043 | 2020-05-18 |
| 1114587953 | Jared Kyle Leaderman | Counselor | 421 N Shoreline Blvd, Suite 4, Mountain View, CA 94043 | 2019-06-14 |
| 1841779774 | Gilbert Gallahar | Technician | 312 Wescoat Ct, Mountain View, CA 94043 | 2018-08-10 |
| 1871085670 | Randeep Dhillon | Dentist | 65 Evandale Ave Apt B, Mountain View, CA 94043 | 2018-06-06 |
| 1013436724 | Allison N Smith | Pharmacist | 555 W. Middlefield Rd., D307, Mountain View, CA 94043 | 2017-09-13 |
| 1205350071 | Jacob Allan Hall | Audiologist | 295 Bernardo Ave, Mountain View, CA 94043 | 2017-08-02 |
| 1306144431 | Costco Wholesale | Pharmacist | 1000 N. Rengstorff Ave., Mt. View, CA 94043 | 2011-03-15 |
| 1871803155 | Ashley D Moffett | Marriage & Family Therapist | 2680 Bayshore Parkway, Suite 106, Mountain View, CA 94043 | 2010-10-20 |
| 1720205396 | Dalia Shiran | Psychologist | 2672 East Bayshore Pkwy, Suite 602, Mountain View, CA 94043 | 2007-04-18 |
| 1811033533 | Paul Gartlan | Registered Nurse | 501 Whisman Rd., Mountain View, CA 94043 | 2007-01-29 |
| Find all providers in zip 94043 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
| 1073806667 | Asian American Recovery Services, Inc. | Clinic/Center | 3535 Truman Ave, Mountain View, CA 94040-4559 | 2011-05-16 |
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| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94043 |
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| 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.