DIAMOND LODGE – NPI #1215119375
Community Based Residential Treatment Facility, Mental Illness

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

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

DIAMOND LODGE is a community based residential treatment facility located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1215119375 to DIAMOND LODGE on November 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIAMOND LODGE below.

NPI Profile for
DIAMOND LODGE

NPI Number
1215119375
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIAMOND LODGE
Primary location
20 ARLINGTON ST
SAN FRANCISCO, CA 94131
Phone: (415) 285-0688 Fax:
Mailing address
1135 TOURNAMENT DRIVE
SF, CA 94131
Phone: (415) 285-0688 Fax: (415) 550-6492
Organization Subpart
No
Authorized Official
ANNIE JACOB
OWNER ADMINISTRATOR
Phone: (415) 577-1004
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.