HEARTWOOD HOUSE LLC (NPI# 1386269660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386269660 |
| Entity Type | Organization |
| Organization Name | HEARTWOOD HOUSE LLC |
| Practice Address |
8 Circle Rd San Rafael CA 94903-3821 |
| Practice Telephone | 4154198816 |
| Mailing Telephone | 4154198816 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MICHAEL THOMAS DEMPSEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4158677143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS | 210051AP | 01 |
| Street Address |
8 CIRCLE RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1982246815 | Ca Ya Services LLC | Substance Abuse Rehabilitation Facility | 285 Margarita Dr, San Rafael, CA 94901-2329 | 2019-10-11 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1295104420 | Robert Bostonian | Substance Abuse Rehabilitation Facility | 67 Grande Paseo, San Rafael, CA 94903-1555 | 2015-09-17 |
| 1982071833 | Brian Finley | Substance Abuse Rehabilitation Facility | 195 Nova Albion Way Apt 21, San Rafael, CA 94903-4528 | 2015-08-26 |
| 1003206228 | Helen Vine Recovery Center | Substance Abuse Rehabilitation Facility | 291 Smith Ranch Rd, San Rafael, CA 94903-5551 | 2015-01-26 |
| 1669716361 | North Bay Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 55 Shaver St, San Rafael, CA 94901-2787 | 2012-11-19 |
| 1801041074 | Bayside Marin, LLC | Substance Abuse Rehabilitation Facility | 718 4th St, San Rafael, CA 94901-3213 | 2008-12-01 |
| 1316169576 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 39 Mary St, San Rafael, CA 94901-3451 | 2007-05-03 |
| 1235351487 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 519 Belle Ave, San Rafael, CA 94901-3414 | 2007-05-03 |
| 1760601355 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 812 D St, San Rafael, CA 94901-2814 | 2007-04-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on HEARTWOOD HOUSE LLC.
| 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.