J COLE RECOVERY HOMES, INC (NPI# 1376766238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376766238 |
| Entity Type | Organization |
| Organization Name | J COLE RECOVERY HOMES, INC |
| Other Organization Name | COLE HOUSE |
| Practice Address |
1408 A St Antioch CA 94509-2331 |
| Practice Telephone | 9259782873 |
| Practice Fax Number | 9257570411 |
| Mailing Telephone | 9259782873 |
| Mailing Fax Number | 9257570411 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBRA BARCELLOS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9259782873 |
| Authorized Official Credential | C.A.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 070034AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Cole House | Doing Business As Name - Organization |
| Street Address |
1408 A ST |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001216 | Toby Martin Disney | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2020-07-30 |
| 1881234391 | Jason Edward Meadors Sr. | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2020-01-13 |
| 1033774161 | Michael Alan Watson | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2019-05-03 |
| 1194215327 | Leonard Michael Conry | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2018-05-14 |
| 1548766629 | Daniel Raymond Yarrigle | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2018-04-05 |
| 1497270748 | Tonia M Abloogalook | Spec/Tech, Health Info | 1408 A St, Antioch, CA 94509-2331 | 2017-08-08 |
| 1215452404 | Larry Lee Davis II | Technician | 1408 A St, Antioch, CA 94509-2331 | 2017-08-08 |
| 1871018101 | Corey Anthony Avaloz | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2017-08-08 |
| 1699290957 | Suzanne Cole | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2017-08-08 |
| 1609130509 | Danyelle Elaine Pedersen | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1467995241 | Peter Wong | Substance Abuse Rehabilitation Facility | 4714 Broomtail Ct, Antioch, CA 94531-9305 | 2016-11-28 |
| 1720548084 | R.e.a.c.h. Project | Substance Abuse Rehabilitation Facility | 1915 D St, Antioch, CA 94509-2571 | 2019-03-22 |
| 1497215883 | R.e.a.c.h. Project | Substance Abuse Rehabilitation Facility | 1915 D St, Antioch, CA 94509-2571 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.