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HEARTWOOD HOUSE LLC
NPI 1386269660
Substance Abuse Rehabilitation Facility in San Rafael, CA

Active since June 11, 2020CLIA Certified · 2 labs
8 CIRCLE RD, SAN RAFAEL, CA 94903(415) 419-8816 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heartwood House Llc NPPES

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

HEARTWOOD HOUSE LLC (NPI 1386269660) is a healthcare organization registered as a substance abuse rehabilitation facility in San Rafael, California and active in the NPI registry since June 2020. The organization holds 2 active CLIA laboratory certificates and lists Michael Thomas Dempsey, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1386269660
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHEARTWOOD HOUSE LLC
Location Address8 CIRCLE RDSan Rafael, CA 94903-3821
Mailing Address8 Circle RdSan Rafael, CA 94903-3821 · (415) 419-8816
Phone(415) 419-8816
Organization SubpartNo
Authorized OfficialMichael Thomas DempseyExecutive Director · (415) 867-7143
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1386269660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
8 CIRCLE RD, San Rafael, CA 94903
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Other Identifiers 1

Other210051APCA · Dhcs

CLIA Laboratory Certificates CMS CLIA 2

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 05D2220049

Heartwood House LLC · San Rafael, CA
Active · expires Apr 7, 2027
CLIA Number05D2220049
Laboratory TypeResid Detox Facility
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorMichael B. Macquarrie
Laboratory Phone(415) 419-8816
Laboratory LocationHeartwood House LLC8 Circle Road, San Rafael, CA 94903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2279178

Heartwood House, LLC · Novato, CA
Active · expires Mar 29, 2027
CLIA Number05D2279178
Laboratory TypeResident Alcohol/Drug
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorMichael B. Macquarrie
Laboratory Phone(415) 419-8816
Laboratory LocationHeartwood House, LLC771 Rowland Blvd, Novato, CA 94947
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Heartwood House LLC's NPI number?

The NPI number for Heartwood House LLC is 1386269660. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Heartwood House LLC located?

Heartwood House LLC is located at 8 Circle Rd, San Rafael, CA 94903. The listed phone number is (415) 419-8816.

What is Heartwood House LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Heartwood House LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Heartwood House LLC was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.