SACRAMENTO RECOVERY HOUSE, INC. (NPI# 1215920921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215920921 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO RECOVERY HOUSE, INC. |
| Practice Address |
1914 22nd St Sacramento CA 95816-7109 |
| Mailing Address |
2921 Fulton Ave Sacramento CA 95821-4909 |
| Practice Telephone | 9164556258 |
| Mailing Telephone | 9163389460 |
| Mailing Fax Number | 9163389468 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | SUSAN B BLACKSHER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9163389460 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 340009AN | CA | Residential Treatment Facilities |
| Street Address |
1914 22ND ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315400 | Michael Christian Tharpe | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2020-10-27 |
| 1003431495 | Travis George Nichols | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2020-06-10 |
| 1558927632 | Joseph Alan Pike | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2019-05-14 |
| 1841784824 | Susan Blacksher | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2018-06-21 |
| 1790274801 | Jose M. Griffin | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2018-05-03 |
| 1326420027 | Al Miller | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2015-06-18 |
| 1437531134 | Ronald Reeves | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2015-06-18 |
| 1710397708 | Tran Son | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2014-04-30 |
| 1841430220 | Mark Edward Sawyer | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2009-02-25 |
| 1134369515 | Dustin Shane Miller | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822667 | Cs II,llc | Substance Abuse Rehabilitation Facility | 8950 Cal Center Dr Ste 165b, Sacramento, CA 95826-3259 | 2019-10-11 |
| 1811464019 | The Camp Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 2641 Cottage Way Ste 8, Sacramento, CA 95825-1276 | 2018-10-26 |
| 1629565858 | Psychnp Consultants Inc. | Substance Abuse Rehabilitation Facility | 6808 Fleming Ave, Sacramento, CA 95828-4103 | 2018-04-13 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1790164143 | Cedar Point Recovery, LLC | Substance Abuse Rehabilitation Facility | 8950 Cal Center Dr Ste 160165, Sacramento, CA 95826-3259 | 2015-05-19 |
| 1578976080 | Medmark Treatment Services | Substance Abuse Rehabilitation Facility | 7240 E. Southgate Drive, Sacramento, CA 95823 | 2014-06-03 |
| 1730319609 | Healthy Interventions | Substance Abuse Rehabilitation Facility | 2634 Watertree Way, Sacramento, CA 95826 | 2009-07-24 |
| 1740429174 | Sacramento Area Emergency Housing Center | Substance Abuse Rehabilitation Facility | 2925 34th St, Sacramento, CA 95817-3113 | 2009-02-09 |
| 1376782706 | Sacramento Area Emergency Housing Center | Substance Abuse Rehabilitation Facility | 4516 Parker Ave, Sacramento, CA 95820-4029 | 2009-02-09 |
| 1760629414 | Lamercie Youth and Adult Services, Inc. | Substance Abuse Rehabilitation Facility | 2251 Florin Rd Ste 108, Sacramento, CA 95822-4478 | 2009-01-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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| 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.