BH-TC OPCO LLC
NPI 1447977582
Community Based Residential Treatment Facility, Mental Illness in Tulare, CA

Q: What is Bh-Tc Opco LLC's NPI number?

The NPI number for Bh-Tc Opco LLC is 1447977582. It was assigned to this organization in the NPPES registry on October 19, 2022. The provider is doing business as Jackson House Tulare.

Q: What is Bh-Tc Opco LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Bh-Tc Opco LLC was last updated on October 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 19, 2022CLIA 05D2316719 · Waiver

1168 LELAND AVE, TULARE, CA 93274(619) 507-6385 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bh-tc Opco Llc NPPES

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

BH-TC OPCO LLC (NPI 1447977582), doing business as Jackson House Tulare, is a healthcare organization registered as a community based residential treatment facility, mental illness in Tulare, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Chad Engbrecht, Chief Development Officer, as its authorized official.

NPPES Registry Identity

NPI1447977582

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameBH-TC OPCO LLC

Location Address1168 LELAND AVETulare, CA 93274-7811

Mailing Address7050 Parkway DrLa Mesa, CA 91942-1535

Phone(619) 507-6385

Organization SubpartNo

Authorized OfficialChad EngbrechtChief Development Officer · (858) 254-2510

Enumeration DateOctober 19, 2022

NPPES CertifiedOctober 19, 2022

✔ NPI 1447977582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1168 LELAND AVE, Tulare, CA 93274

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Other Names 1

Doing Business AsJackson House Tulare

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 05D2316719

Bh-Tc Opco, LLC Dba Jackson House Tulare · Tulare, CA

Active · expires Jan 9, 2027

CLIA Number05D2316719

Laboratory TypeComp Residential Rehab Fa

Certificate Effective DateJanuary 10, 2025

Certificate Expiration DateJanuary 9, 2027

Laboratory DirectorIrinel Chiriac

Laboratory Phone(559) 336-1776

Laboratory LocationBh-Tc Opco, LLC Dba Jackson House Tulare1168 Leland Ave, Tulare, CA 93274

CLIA data matches this NPI record on: Address Name

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.

SERINA JIMENEZ

Licensed Psychiatric Technician