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HIS HOUSE NEW CREATION TREATMENT CENTER
NPI 1376371187
Counselor - Addiction (Substance Use Disorder) in Upland, CA

Active since July 23, 2024CLIA 05D2164172 · Waiver
239 W 9TH ST, UPLAND, CA 91786(909) 981-6121(909) 912-8041 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About His House New Creation Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIS HOUSE NEW CREATION TREATMENT CENTER (NPI 1376371187) is a healthcare organization registered as an addiction (substance use disorder) in Upland, California and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Louisa Escarrzaga Gutierrez, Support Staff, as its authorized official.

NPPES Registry Identity

NPI1376371187
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameHIS HOUSE NEW CREATION TREATMENT CENTER
Location Address239 W 9TH STUpland, CA 91786-5979
Mailing Address239 W 9th StUpland, CA 91786-5979 · (909) 981-6121
Phone(909) 981-6121
Fax(909) 912-8041
Organization SubpartNo
Authorized OfficialLouisa Escarrzaga GutierrezSupport Staff · (951) 732-0437
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1376371187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
239 W 9TH ST, Upland, CA 91786
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2164172

G&c Swan, Inc Dba - His House · Upland, CA
Active · expires Mar 28, 2027
CLIA Number05D2164172
Laboratory TypeResidential Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorMichael Valdez
Laboratory Phone(909) 443-9046
Laboratory LocationG&c Swan, Inc Dba - His House239 W 9th Street, Upland, CA 91786
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL THOMPSON
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
VICTOR GOMEZ
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
TOREY RANSOM CADC II
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
MAHMOUD BENSUFIA
Peer Specialist
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (714) 797-1644
CLIFFORD RAY GARRETT
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
MICHAEL LAURENCE SANDS
Peer Specialist
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
DARREN SARDIN
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121
JOHN MORGAN
Counselor (Addiction (Substance Use Disorder))
239 W 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 981-6121

Frequently 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 His House New Creation Treatment Center's NPI number?

The NPI number for His House New Creation Treatment Center is 1376371187. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is His House New Creation Treatment Center located?

His House New Creation Treatment Center is located at 239 W 9th St, Upland, CA 91786. The listed phone number is (909) 981-6121.

What is His House New Creation Treatment Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does His House New Creation Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2164172) is associated with this NPI, valid through March 28, 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 His House New Creation Treatment Center was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.