VICTOR TREATMENT CENTERS, INC.


Address: 520 Oasis Dr, Santa Rosa, CA 95407-7717
Phone: 7075785593

VICTOR TREATMENT CENTERS, INC. (NPI# 1417446493) 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) 1417446493
Entity Type Organization
Organization Name VICTOR TREATMENT CENTERS, INC.
Other Organization Name VTC JUNIPER HOUSE
Practice Address 520 Oasis Dr
Santa Rosa
CA 95407-7717
Mailing Address 1360 E Lassen Ave
Chico
CA 95973-7823
Practice Telephone 7075785593
Mailing Telephone 5308930758
Mailing Fax Number 5308930502
Enumeration Date 2018-05-06
Last Update Date 2018-05-06
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 Juniper 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
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 520 OASIS DR
City SANTA ROSA
State CA
Zip Code 95407-7717

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972100477 Charrise Reece Case Management 935 S Davis, Santa Rosa, CA 95407 2020-10-07
1629687256 Suzel Anne-marie Deer Registered Nurse 1017 Stony Point Rd, Santa Rosa, CA 95407 2020-07-29
1285152884 Mercedes Zipperle Specialist/Technologist 638 Athena Pl, Santa Rosa, CA 95407 2017-09-03
1235664988 Priceless Transport Care LLC Non-emergency Medical Transport (VAN) 661 Powderhorn Ave, Santa Rosa, CA 95407 2017-05-01
1780139634 Robin Shank Sanderson Nurse Practitioner 751 Lombardi, Santa Rosa, CA 95407 2016-08-22
1205207321 Flaman Craig Mccloud Jr. Counselor 440 Arrowood Dr., Santa Rosa, CA 95407 2015-10-15
1548679400 Jill Bauer Dental Hygienist 2740 Ironstone Circle, Santa Rosa, CA 95407 2014-08-05
1922413673 Aurora Alejandra Gomez Selpides Family Medicine 2240 Mercury Way, Santa Rosa, CA 95407 2014-06-20
1508159955 Luis Angel Gonzalez Counselor 1202 Apollo Way, Santa Rosa, CA 95407 2011-05-18
1326286295 Kelly Alexis Rathmann Social Worker 3650 Standish Avenue, Santa Rosa, CA 95407 2009-01-29
Find all providers in zip 95407

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
1063901049 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 565 Piezzi Rd, Santa Rosa, CA 95401-5536 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 95407

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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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