Heartwood House Llc

LBN: Heartwood House Llc
Heartwood House Llc is an health care organization with primary practice located at 8 Circle Rd , San Rafael CA 94903-3821. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Heartwood House Llc can be contacted via phone (415) 419-8816, or through Dempsey, Michael Thomas via phone (415) 867-7143.

Contact Information

Primary practice address
8 Circle Rd San Rafael CA 94903-3821
Phone: (415) 419-8816
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dempsey, Michael Thomas
Phone: (415) 867-7143

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1386269660
LBN Legal business name Heartwood House Llc
DBA Doing business as
Authorized official Dempsey, Michael Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386269660 NPPES
California Other 210051AP DHCS

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