JACKSON HOUSE SANTA PAULA
NPI 1538761010
Community Based Residential Treatment Facility, Mental Illness in Santa Paula, CA
About Jackson House Santa Paula NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON HOUSE SANTA PAULA (NPI 1538761010) is a healthcare organization registered as a community based residential treatment facility, mental illness in Santa Paula, California and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Chad Engbrecht, Chief Development Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 05D2319296
Bh-Vc Opco Sp, LLC Dba Jackson House Santa Paula · Santa Paula, CAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bh-Vc Opco Sp, LLC's NPI number?
The NPI number for Bh-Vc Opco Sp, LLC is 1538761010. It was assigned to this organization in the NPPES registry on November 10, 2020. The provider is doing business as Jackson House Santa Paula.
Where is Bh-Vc Opco Sp, LLC located?
Bh-Vc Opco Sp, LLC is located at 811 W Telegraph Rd, Santa Paula, CA 93060. The listed phone number is (619) 889-3399.
What is Bh-Vc Opco Sp, LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Does Bh-Vc Opco Sp, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2319296) is associated with this NPI, valid through February 25, 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 Bh-Vc Opco Sp, LLC was last updated on January 11, 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.
# Jackson House Santa Paula · NPI 1538761010
Community Based Residential Treatment Facility, Mental Illness organization in Santa Paula, California. Organization record, active in the CMS NPPES registry since November 10, 2020.
## Identity
- **NPI:** 1538761010 (Entity type: Organization)
- **Enumerated:** November 10, 2020
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Legal business name:** Bh-Vc Opco Sp, Llc
- **Organization subpart:** No
- **Authorized official:** Chad Engbrecht, CHIEF DEVELOPMENT OFFICER
## Practice location
- **Address:** 811 W TELEGRAPH RD, Santa Paula, CA 93060-5400
- **Phone:** (619) 889-3399
## Record status
- **NPPES last updated:** January 11, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538761010) · Data from the CMS NPPES public registry.