HER HARBOR LLC
NPI 1164239299
Substance Abuse Rehabilitation Facility in Fresno, CA
About Her Harbor Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HER HARBOR LLC (NPI 1164239299) is a healthcare organization registered as a substance abuse rehabilitation facility in Fresno, California and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2027, maintains a secondary practice location in Fresno, and lists Michelle Johns, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2323468
Her Harbor LLC · Fresno, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Her Harbor LLC's NPI number?
The NPI number for Her Harbor LLC is 1164239299. It was assigned to this organization in the NPPES registry on December 12, 2024. The provider is also known as Her Harbor Recovery Center.
Where is Her Harbor LLC located?
Her Harbor LLC is located at 6667 N Van Ness Blvd, Fresno, CA 93711. The listed phone number is (877) 536-0845.
What is Her Harbor LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Her Harbor LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2323468) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Her Harbor LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Her Harbor Llc · NPI 1164239299
Substance Abuse Rehabilitation Facility organization in Fresno, California. Organization record, active in the CMS NPPES registry since December 12, 2024.
## Identity
- **NPI:** 1164239299 (Entity type: Organization)
- **Enumerated:** December 12, 2024
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** Her Harbor Recovery Center (Other Name)
- **Organization subpart:** No
- **Authorized official:** Michelle Johns, MANAGER
## Practice location
- **Address:** 6667 N VAN NESS BLVD, Fresno, CA 93711-1249
- **Phone:** (877) 536-0845
## Record status
- **NPPES last updated:** December 12, 2024
- **Other identifiers:** Other 100110AP (CA); Other 100110BP (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164239299) · Data from the CMS NPPES public registry.