CACHE CREEK LODGE, INC. (NPI# 1548472681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548472681 |
| Entity Type | Organization |
| Organization Name | CACHE CREEK LODGE, INC. |
| Practice Address |
435 Aspen Street Woodland CA 95695 |
| Practice Telephone | 5306625727 |
| Practice Fax Number | 5306625727 |
| Mailing Telephone | 5306625727 |
| Mailing Fax Number | 5306681198 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | MR. PETER M MARTINEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5306625727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 570004CN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780941658 | Cache Creek Lodge, Inc. | Substance Abuse Rehabilitation Facility | 435 Aspen St, Woodland, CA 95695-2665 | 2012-04-17 |
| Street Address |
435 ASPEN STREET |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| Find all providers in zip 95695 | ||||
| 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 |
|---|---|---|---|---|
| 1508248170 | Elia Garcia | Substance Abuse Rehabilitation Facility | 1367 Coolidge Pl, Woodland, CA 95776-6734 | 2015-06-19 |
| 1285029819 | Stefanie Williams | Substance Abuse Rehabilitation Facility | 8 W Clover St, Woodland, CA 95695-3010 | 2015-03-31 |
| 1700921715 | Progress House, Inc. | Substance Abuse Rehabilitation Facility | Progress House Yolo County Women & Children's, 15450 County Road 99, Woodland, CA 95695 | 2007-02-20 |
| 1831543578 | Yolo Wayfarer Center (christian Mission) | Substance Abuse Rehabilitation Facility | 285 4th St, Woodland, CA 95695-3501 | 2016-04-19 |
| 1508241647 | Monique Amber Leatherbury | Substance Abuse Rehabilitation Facility | 15450 County Road 99, Woodland, CA 95695-9339 | 2015-07-29 |
| 1639571177 | Shay-anne Rosseli | Substance Abuse Rehabilitation Facility | 15450 County Road 99, Woodland, CA 95695-9339 | 2014-09-16 |
| 1629418595 | Yolo Wayfarer Center | Substance Abuse Rehabilitation Facility | 812 Court St, Woodland, CA 95695-3517 | 2013-06-25 |
| 1790036812 | Cache Creek Lodge Inc | Substance Abuse Rehabilitation Facility | 435 Aspen St, Woodland, CA 95695-2665 | 2012-09-28 |
| 1780941658 | Cache Creek Lodge, Inc. | Substance Abuse Rehabilitation Facility | 435 Aspen St, Woodland, CA 95695-2665 | 2012-04-17 |
| 1821201336 | Yolo County Alcohol, Drug and Mental Health | Substance Abuse Rehabilitation Facility | 178 W Beamer St, Woodland, CA 95695-2663 | 2007-05-08 |
| Find all providers in WOODLAND | ||||
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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.