HOLLY PARK FAMILY HOME – NPI #1528253465
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.

HOLLY PARK FAMILY HOME is a community based residential treatment facility located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1528253465 to HOLLY PARK FAMILY HOME on September 13, 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.

The NPI profile was previously updated about 18 years ago on Jul 11, 2008. 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 HOLLY PARK FAMILY HOME below.

NPI Profile for
HOLLY PARK FAMILY HOME

NPI Number
1528253465
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
HOLLY PARK FAMILY HOME
Primary location
321 HOLLY PARK CIRCLE
SAN FRANCISCO, CA 94110
Phone: (415) 648-8292 Fax: (415) 648-8292
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CONCHITA BERRY
ADM AND LICENSEE
Phone: (415) 648-8292
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.