VICTOR TREATMENT CENTERS, INC.


Address: 565 Piezzi Rd, Santa Rosa, CA 95401-5536
Phone: 7075790785

VICTOR TREATMENT CENTERS, INC. (NPI# 1063901049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063901049
Entity Type Organization
Organization Name VICTOR TREATMENT CENTERS, INC.
Other Organization Name VTC COUNTRY CLUB HOUSE
Practice Address 565 Piezzi Rd
Santa Rosa
CA 95401-5536
Mailing Address 1360 E Lassen Ave
Chico
CA 95973-7823
Practice Telephone 7075790785
Mailing Telephone 5308930758
Mailing Fax Number 5308930502
Enumeration Date 2018-05-06
Last Update Date 2019-08-02
Authorized Official Name ANGIE R WIECHERT (DIRECTOR OF FINANCIAL ANALYSIS)
Authorized Official Telephone 5302301210
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA LEGAL ENTITY # 00118 01

Other Provider/Organization Names

Other Name Type Code
VTC Country Club House Other Name - Individual/Organization
VTC County Club House Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346739273 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 600 Irwin Ln, Santa Rosa, CA 95401-5607 2018-05-07
1891284725 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 620 Irwin Ln, Santa Rosa, CA 95401-5607 2018-05-07
1346739265 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1136 Clover Dr, Santa Rosa, CA 95401-4512 2018-05-07
1407345317 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 21282 Tia Mia Ln, Redding, CA 96003-9359 2018-05-07
1134618044 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 19767 Paso Robles Ave, Redding, CA 96003-7769 2018-05-07
1285123117 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 20846 Clairvaux Drive, Redding, CA 96002 2018-05-07
1417446493 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 520 Oasis Dr, Santa Rosa, CA 95407-7717 2018-05-06
1528557501 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 13403 Kings Way, Redding, CA 96003-7017 2018-05-06
1700375789 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 4223 Alta Mesa Dr, Redding, CA 96002-3727 2018-05-06
1487218830 Victor Treatment Centers, Inc. Community Based Residential Treatment Facility, Mental Illness 3244 E Green St, Pasadena, CA 91107-3836 2019-04-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities VICTOR TREATMENT CENTERS, INC. 1360 E Lassen Ave, Chico, CA 95973-7823

Office Location

Street Address 565 PIEZZI RD
City SANTA ROSA
State CA
Zip Code 95401-5536

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346739273 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 600 Irwin Ln, Santa Rosa, CA 95401-5607 2018-05-07
1891284725 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 620 Irwin Ln, Santa Rosa, CA 95401-5607 2018-05-07
1346739265 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1136 Clover Dr, Santa Rosa, CA 95401-4512 2018-05-07
1417446493 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 520 Oasis Dr, Santa Rosa, CA 95407-7717 2018-05-06
1457841918 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 341 Irwin Ln, Santa Rosa, CA 95401-5603 2018-05-10
1174965214 Victor Treatment Center Residential Treatment Facility, Emotionally Disturbed Children 341 Irwin Ln, Santa Rosa, CA 95401-5603 2013-07-17
1518304138 Victor Treatment Center Residential Treatment Facility, Emotionally Disturbed Children 3164 Condo Ct, Santa Rosa, CA 95403-2557 2013-05-23
1346459781 R House, Inc. Residential Treatment Facility, Emotionally Disturbed Children 183 Pythian Rd, Santa Rosa, CA 95409-6518 2007-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144820499 Catholic Charities of The Diocese of Oakland Residential Treatment Facility, Emotionally Disturbed Children 3700 Dorisa Ave, Oakland, CA 94605-4941 2020-10-27
1922607944 Inspire A Youth, Inc Residential Treatment Facility, Emotionally Disturbed Children 7556 Avenida Baja, Riverside, CA 92509-3449 2020-10-21
1235736554 Yvonne Dionne Robinson Residential Treatment Facility, Emotionally Disturbed Children 1223 E Helmick St, Carson, CA 90746-3163 2020-10-09
1740897784 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 602 Woodlark Dr, Suisun City, CA 94585-2244 2020-09-24
1548877657 T & T House of Champions Residential Treatment Facility, Emotionally Disturbed Children 2115 High St, Oakland, CA 94601-4335 2020-09-23
1902412182 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 136 Valdivia Cir, San Ramon, CA 94583-2228 2020-09-22
1073128492 Samuel Campbell Jr. Residential Treatment Facility, Emotionally Disturbed Children 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 2020-09-11
1336753433 Aaron's Boys Home Residential Treatment Facility, Emotionally Disturbed Children 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 2020-09-04
1699389452 Millie's Youth Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 2512 Havenscourt Blvd, Oakland, CA 94605-1935 2020-08-31
1538779871 Hidden Treasures Foundation, Inc Residential Treatment Facility, Emotionally Disturbed Children 1240 W 13th Ave, Escondido, CA 92025-5560 2020-08-02
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Competitor

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City SANTA ROSA
Zip Code 95401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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