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PALM HOUSE, INC.
NPI 1629441308
Substance Abuse Rehabilitation Facility in Carson, CA

Active since November 03, 2015
2515 E JEFFERSON ST, CARSON, CA 90810(310) 830-7803(310) 830-6606 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palm House, Inc. NPPES

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

PALM HOUSE, INC. (NPI 1629441308) is a healthcare organization registered as a substance abuse rehabilitation facility in Carson, California and active in the NPI registry since November 2015. The organization lists Renato Diccion Casaclang, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629441308
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePALM HOUSE, INC.
Location Address2515 E JEFFERSON STCarson, CA 90810-1519
Mailing Address2515 E Jefferson StCarson, CA 90810-1519 · (310) 830-7803 · Fax (310) 830-6606
Phone(310) 830-7803
Fax(310) 830-6606
Organization SubpartNo
Authorized OfficialRenato Diccion CasaclangExecutive Director · (310) 830-7803
Enumeration DateNovember 3, 2015
✔ NPI 1629441308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 190040AN
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.
2515 E JEFFERSON ST, Carson, CA 90810
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Other Providers at the Same Location NPPES 9

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

JENNIFER L LLOYD RADT
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (310) 830-7803
JENNIFER FAYE POPPY RADT
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (951) 235-9015
WESTLEY LUKE CARIAGA
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (310) 830-7803
VERONICA VELASCO CADC-CAS
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (310) 830-7803
SAMANTHA ISTFAN
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
LONG BEACH, CA 90810
Los Angeles County (310) 830-7803
MR. JUSTIN S DABU
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (310) 830-7803
SEAN THOMAS MALONE SR. RADT
Counselor (Addiction (Substance Use Disorder))
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (310) 830-7803
MR. ANICETO B CHAMBERS III
Registered Nurse
2515 E JEFFERSON ST
CARSON, CA 90810
Los Angeles County (310) 830-7803

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 Palm House, Inc.'s NPI number?

The NPI number for Palm House, Inc. is 1629441308. It was assigned to this organization in the NPPES registry on November 3, 2015.

Where is Palm House, Inc. located?

Palm House, Inc. is located at 2515 E Jefferson St, Carson, CA 90810. The listed phone number is (310) 830-7803.

What is Palm House, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Palm House, Inc. was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.