AJ'S AMETHYST HOUSE – NPI #1720417892
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.

AJ'S AMETHYST HOUSE is a substance abuse rehabilitation facility located in SAN JACINTO, CA. NPPES has assigned the NPI number 1720417892 to AJ'S AMETHYST HOUSE on November 08, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AJ'S AMETHYST HOUSE” is a dba name, the actual legal business name for this organization is BII AJ OUR HOUSE, LLC. 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.

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 AJ'S AMETHYST HOUSE below.

NPI Profile for
BII AJ OUR HOUSE, LLC

NPI Number
1720417892
Enumeration Date

(more than 12 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
BII AJ OUR HOUSE, LLC
Doing Business As (dba): AJ'S AMETHYST HOUSE
Primary location
1119 W 7TH ST
SAN JACINTO, CA 92582-3856
Phone: (951) 294-5870 Fax: (951) 294-5806
Mailing address
43500 RIDGE PARK DR
SUITE 101
TEMECULA, CA 92590-3624
Phone: (951) 294-5870 Fax: (951) 294-5806
Organization Subpart
No
Authorized Official
ARLEAN TRUAX
EXECUTIVE DIRECTOR
Phone: (951) 294-5870
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
324500000X
- Substance Abuse Rehabilitation Facility (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.