Provider Demographics
NPI:1396005070
Name:HOME OF GUIDING HANDS
Entity type:Organization
Organization Name:HOME OF GUIDING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-938-2864
Mailing Address - Street 1:1825 GILLESPIE WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-0501
Mailing Address - Country:US
Mailing Address - Phone:619-938-2850
Mailing Address - Fax:
Practice Address - Street 1:1825 GILLESPIE WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-0501
Practice Address - Country:US
Practice Address - Phone:619-938-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities