UJIMA FAMILY RECOVERY SERVICES (NPI# 1457474959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457474959 |
| Entity Type | Organization |
| Organization Name | UJIMA FAMILY RECOVERY SERVICES |
| Other Organization Name | LA CASA UJIMA 919 MELLUS STREET |
| Practice Address |
919 Mellus St Martinez CA 94553-1744 |
| Mailing Address |
1901 Church Ln San Pablo CA 94806-3707 |
| Practice Telephone | 9252290230 |
| Practice Fax Number | 9252290233 |
| Mailing Telephone | 5102363139 |
| Mailing Fax Number | 5102363200 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | RITA B SCHANK (EXCUTIVE DIRECTOR) |
| Authorized Official Telephone | 5102363139 |
| Authorized Official Credential | M.P.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | UJIMA FAMILY RECOVERY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 070008DN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| La Casa Ujima 919 Mellus Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891127247 | Ujima Family Recovery Services | Counselor | 369 E Leland Rd, Pittsburg, CA 94565-4911 | 2013-08-07 |
| 1043429319 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1515 24th St, San Pablo, CA 94806-4505 | 2007-05-22 |
| 1033326095 | Ujima Family Recovery Services | Clinic/Center | 251 Georgia Street, Vallejo, CA 94590 | 2007-05-17 |
| 1902929409 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1916 Church Ln, San Pablo, CA 94806-3708 | 2007-04-09 |
| 1245352962 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1901 Church Ln, San Pablo, CA 94806-3707 | 2007-04-04 |
| 1205957057 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 904 Mellus St, Martinez, CA 94553-1745 | 2007-04-02 |
| 1366563900 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 127 Grenadine Way, Hercules, CA 94547-2041 | 2007-04-02 |
| 1881002541 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 12960 San Pablo Ave, Richmond, CA 94805-1307 | 2014-07-25 |
| 1346516739 | Ujima Family Recovery Services | Counselor | 2975 Treat Blvd, Suite B-5, Concord, CA 94518-3601 | 2012-03-29 |
| 1881960284 | Ujima Family Recovery Services | Case Management | 400 Ellinwood Way, Pleasant Hill, CA 94523-7785 | 2012-03-29 |
| Street Address |
919 MELLUS ST |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1134381338 | Sunrise House Program | Substance Abuse Rehabilitation Facility | 2309 Platt Dr, Martinez, CA 94553-5018 | 2008-06-28 |
| 1205957057 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 904 Mellus St, Martinez, CA 94553-1745 | 2007-04-02 |
| 1578923223 | Toni Legree | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-02-23 |
| 1467666594 | Discovery House | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553 | 2007-05-09 |
| 1518181171 | Contra Costa County Alcohol and Other Drug Services | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2007-04-12 |
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.