ELIJAH HOUSE, LOS MOLINOS (NPI# 1467001230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467001230 |
| Entity Type | Organization |
| Organization Name | ELIJAH HOUSE, LOS MOLINOS |
| Practice Address |
7904 Hwy 99e Oroville CA 95966 |
| Mailing Address |
2167 Montgomery St Ste A Oroville CA 95965-4945 |
| Practice Telephone | 5308544119 |
| Practice Fax Number | 5308544118 |
| Mailing Telephone | 5308687091 |
| Mailing Fax Number | 5308544118 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | JOSEPH NATHANIEL HENDERSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5308687091 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELIJAH HOUSE S.L.E |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
7904 HWY 99E |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
| 1508062241 | Katia Wilder | Physician Assistant | Oroville Hospital Ed, 2767 Olive Hwy, Oroville, CA 95966 | 2007-06-21 |
| Find all providers in zip 95966 | ||||
| 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 |
|---|---|---|---|---|
| 1467933069 | Washington Block, LLC | Substance Abuse Rehabilitation Facility | 1215 Lincoln St, Oroville, CA 95965-4810 | 2018-08-22 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1295102044 | Braxton Jackson | Substance Abuse Rehabilitation Facility | 5075 Lincoln Blvd, Oroville, CA 95966-6927 | 2015-08-27 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1275802977 | Cherokee Restoration Fellowship | Substance Abuse Rehabilitation Facility | 141 Mono Ave, Oroville, CA 95965-3309 | 2011-12-26 |
| 1619280963 | Oroville Economic and Community Development Corporation | Substance Abuse Rehabilitation Facility | 3114 Myers St, Oroville, CA 95966-6555 | 2010-07-15 |
| 1003283854 | Lifeline Residential Treatment Center | Substance Abuse Rehabilitation Facility | 5075 Lincoln Blvd, Oroville, CA 95966-6927 | 2015-08-27 |
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|---|---|---|---|---|
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| 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 |
| 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.