SAN DIEGO FREEDOM RANCH, INC. – NPI #1093937591
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

SAN DIEGO FREEDOM RANCH, INC. is a substance abuse rehabilitation facility located in CAMPO, CA. NPPES has assigned the NPI number 1093937591 to SAN DIEGO FREEDOM RANCH, INC. on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 31, 2020. 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 SAN DIEGO FREEDOM RANCH, INC. below.

NPI Profile for
SAN DIEGO FREEDOM RANCH, INC.

NPI Number
1093937591
Enumeration Date

(more than 19 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
SAN DIEGO FREEDOM RANCH, INC.
Primary location
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Phone: (619) 478-5696 Fax: (619) 478-2404
Mailing address
PO BOX 157
CAMPO, CA 91906
Phone: (619) 478-5696 Fax: (619) 478-2404
Organization Subpart
No
Authorized Official
MICHAEL HUFFAKER
OPERATIONS MANAGER
Phone: (619) 478-5696
Updated
Certification Date
Aug 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 CA 370004AN

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.