LADIES RECOVERY 4 LIFE (NPI# 1609227636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609227636 |
Entity Type | Organization |
Organization Name | LADIES RECOVERY 4 LIFE |
Practice Address |
115 N D St Street, Unit A Lompoc CA 93436-6911 |
Practice Telephone | 8055884410 |
Practice Fax Number | 8058190942 |
Mailing Telephone | 8055884410 |
Mailing Fax Number | 8058190942 |
Enumeration Date | 2016-06-30 |
Last Update Date | 2016-06-30 |
Authorized Official Name | MS. LINDA J. NEUTZ (CLINICAL SUPERV./SUPERVISING CSLR.) |
Authorized Official Telephone | 8057431515 |
Authorized Official Credential | MA CATC CCS #150 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
115 N D ST STREET, UNIT A |
City | LOMPOC |
State | CA |
Zip Code | 93436-6911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
Find all providers in zip 93436 |
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 |
---|---|---|---|---|
1962058297 | Good Samaritan Shelter | Substance Abuse Rehabilitation Facility | 608 W Ocean Ave, Lompoc, CA 93436-6630 | 2019-08-13 |
1598217416 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 300 W Willow Ave, Lompoc, CA 93436-7724 | 2016-10-26 |
1528218989 | Good Samaritan Shelter, Inc. | Substance Abuse Rehabilitation Facility | 113 South M Street, Lompoc, CA 93436-6630 | 2008-09-23 |
1801929500 | New Leaf | Substance Abuse Rehabilitation Facility | 3492 Via Barba, Lompoc, CA 93436-2142 | 2007-03-13 |
1770035644 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 133 N F St, Ste A, Lompoc, CA 93436-6033 | 2016-10-26 |
1114176831 | Good Samaritan Shelter, Inc. | Substance Abuse Rehabilitation Facility | 604 W Ocean Ave, Lompoc, CA 93436-6630 | 2008-09-18 |
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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.