CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS INC. (NPI# 1467993782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467993782 |
Entity Type | Organization |
Organization Name | CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS INC. |
Practice Address |
1051 N Canfield Niles Rd Austintown OH 44515-1110 |
Practice Telephone | 3309352663 |
Mailing Telephone | 3309352663 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2020-05-19 |
Authorized Official Name | SEBASTIAN RUCCI (OWNER) |
Authorized Official Telephone | 3307200398 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
1051 N CANFIELD NILES RD |
City | AUSTINTOWN |
State | OH |
Zip Code | 44515-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629518790 | Emma Barry | Social Worker | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2017-03-08 |
1942823158 | George James Rutherford | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-21 |
1851913040 | Natalie Priddy | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-11 |
1538781711 | Samuel Naples | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-11 |
1689208134 | Toni Goldsboro | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-02-24 |
1760016216 | Jamie Dattilio | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-02-24 |
1588229124 | Sebastian Rucci | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2019-05-09 |
1831664655 | Matteo A Rucci | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2018-10-08 |
1205322690 | Michelle A Rucci | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515 | 2018-07-09 |
1952894867 | Ricki Rivera | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2018-06-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
Find all providers in zip 44515 |
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 |
---|---|---|---|---|
1841705191 | Shane De Smith | Substance Abuse Rehabilitation Facility | 5760 Patriot Blvd, Austintown, OH 44515-1170 | 2017-12-08 |
1588104012 | Nicholas Wade | Substance Abuse Rehabilitation Facility | 5760 Patriot Blvd, Austintown, OH 44515-1170 | 2017-03-02 |
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1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
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City | AUSTINTOWN |
Zip Code | 44515 |
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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.