VICTOR TREATMENT CENTERS, INC.


Address: 21282 Tia Mia Ln, Redding, CA 96003-9359
Phone: 5302230604

VICTOR TREATMENT CENTERS, INC. (NPI# 1407345317) 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) 1407345317
Entity Type Organization
Organization Name VICTOR TREATMENT CENTERS, INC.
Other Organization Name VTC LOGAN HOUSE
Practice Address 21282 Tia Mia Ln
Redding
CA 96003-9359
Mailing Address 1360 E Lassen Ave
Chico
CA 95973-7823
Practice Telephone 5302230604
Mailing Telephone 5308930758
Mailing Fax Number 5308930502
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Authorized Official Name ANGIE R WIECHERT (CONTROLLER)
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 NUMBER 00118 01

Other Provider/Organization Names

Other Name Type Code
VTC Logan 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
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
1063901049 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 565 Piezzi Rd, Santa Rosa, CA 95401-5536 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 21282 TIA MIA LN
City REDDING
State CA
Zip Code 96003-9359

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144882309 Patricia Price Social Worker 2280 Benton Dr Building C, Suite A, Redding, CA 96003 2019-07-08
1487102745 Jill Marie Shepherd Piercy Clark Psychologist 1465 Victor Ave Ste B, Redding, CA 96003 2016-09-15
1811344450 Roger Milton Slagle Social Worker 999 Mission De Oro Dr Ste 103, Redding, CA 96003 2016-05-23
1265713812 Tesha Marie Huston Pharmacist 975 Cypress Ave, Redding, CA 96003 2011-09-08
1861717605 Western Physical Therapy Inc Physical Therapist 1495 Victor Ave, Suite D, Redding, CA 96003 2010-04-05
1013230036 Douglas Norman Porter Psychologist 748 North Market St., Redding, CA 96003 2010-03-04
1821232877 Express Medi-trans, Inc. Non-emergency Medical Transport (VAN) 2985 Innsbruck Dr, Redding, CA 96003 2009-04-21
1235393000 Bridget Gabrielle Young Physical Therapist 2021 Benton Dr, Redding, CA 96003 2008-07-10
1447427406 Terra Bella Communities Nursing Facility/Intermediate Care Facility 280 Riverpark Drive, Redding, CA 96003 2008-05-09
1588830657 Terra Bella Communities Intermediate Care Facility, Mentally Retarded 237 Shadowrun Ct., Redding, CA 96003 2008-05-07
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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
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
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
1760972210 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 855 Canyon Rd, Redding, CA 96001 2018-05-10
1548713027 Hillcrest Community Services Inc Residential Treatment Facility, Emotionally Disturbed Children 1890 Park Marina Dr, Suite 110, Redding, CA 96001-0961 2016-08-01
1730513557 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 855 Canyon Rd, Redding, CA 96001-5544 2013-08-28

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 REDDING
Zip Code 96003

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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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