CRESTWOOD BEHAVIORAL HEALTH, INC.


Address: 4256 Fruitridge Rd, Sacramento, CA 95820-5047
Phone: 9164272363

CRESTWOOD BEHAVIORAL HEALTH, INC. (NPI# 1720165368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720165368
Entity Type Organization
Organization Name CRESTWOOD BEHAVIORAL HEALTH, INC.
Other Organization Name FRUITRIDGE TRANSITIONAL HOME
Practice Address 4256 Fruitridge Rd
Sacramento
CA 95820-5047
Mailing Address 7590 Shoreline Dr
Stockton
CA 95219-5455
Practice Telephone 9164272363
Practice Fax Number 9164292631
Mailing Telephone 2099552328
Mailing Fax Number 2099525314
Enumeration Date 2006-11-01
Last Update Date 2020-08-22
Authorized Official Name MR. LORI BLACKBURN (VICE PRESIDENT)
Authorized Official Telephone 2099552322
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
FRUITRIDGE TRANSITIONAL HOME Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487282273 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 303 S C St, Lompoc, CA 93436-7305 2020-03-29
1023495181 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 960 Third Ave, Chula Vista, CA 91911 2015-04-28
1295146934 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 5550 University Ave Ste A, San Diego, CA 92105 2014-05-15
1780009142 Crestwood Behavioral Health, Inc. Psychiatric Hospital 2201 Tuolumne St Ste B, Vallejo, CA 94589-2524 2014-02-21
1669734075 Crestwood Behavioral Health, Inc. Psychiatric Hospital 2600 Stockton Blvd Ste B, Sacramento, CA 95817-2210 2012-06-12
1194034645 Crestwood Behavioral Health, Inc. Psychiatric Hospital 6700 Eucalyptus Dr Ste C, Bakersfield, CA 93306-6075 2010-10-01
1821269093 Crestwood Behavioral Health, Inc. Psychiatric Hospital 6700 Eucalyptus Dr, Suite B, Bakersfield, CA 93306-6075 2008-03-17
1275668840 Crestwood Behavioral Health, Inc. Clinic/Center 409 N Adams St, Dixon, CA 95620-2925 2007-02-22
1073648747 Crestwood Behavioral Health, Inc. Clinic/Center 1945 Kidder Ave, Fairfield, CA 94533-3919 2007-02-22
1356411656 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 2600 Stockton Blvd, Sacramento, CA 95817-2210 2006-11-08

Office Location

Street Address 4256 FRUITRIDGE RD
City SACRAMENTO
State CA
Zip Code 95820-5047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477846012 Crestwood Behavioral Health, Inc. Community Based Residential Treatment Facility, Mental Illness 4256 Fruitridge Rd, Sacramento, CA 95820-5047 2011-05-16
1194985549 Vernon Frayna Counselor 4256 Fruitridge Rd, Sacramento, CA 95820-5047 2008-06-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676820 Laraine K Koen Student in an Organized Health Care Education/Training Program 123 Brookshire Lane, Sacramento, CA 95820 2020-10-12
1730737727 Vincent Tang Student in an Organized Health Care Education/Training Program 3230 Sher Court, Sacramento, CA 95820 2019-09-03
1871159897 Lauren Smith Student in an Organized Health Care Education/Training Program Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 2019-05-15
1053899336 Melissa Anne Jeffery Community Health Worker 4600 Broadway Suite 1300, Sacramento, CA 95820 2018-07-30
1841785284 Chelsea Kirstin Acker Student in an Organized Health Care Education/Training Program 3671 Business Dr., Sacramento, CA 95820 2018-06-28
1770022667 Shelly Valdez Behavior Technician 5520 Priscilla Ln, Sacramento, CA 95820 2017-02-13
1285184135 Trang Thu Tran Registered Nurse 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 2016-10-04
1356716039 Nicole Hisaka Psychologist 3651 Business Dr, Sacramento, CA 95820 2015-12-07
1538542469 Universal Med Express, LLC Non-emergency Medical Transport (VAN) 3230 27th Ave, Sacramento, CA 95820 2015-07-09
1033507470 Moua Yang Case Manager/Care Coordinator 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 2015-01-08
Find all providers in zip 95820

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275178493 Compassion Valley LLC Community Based Residential Treatment Facility, Mental Illness 6110 Garfield Ave, Sacramento, CA 95841-2009 2019-11-12
1376199232 Psynergy Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 9847 Folsom Blvd, Sacramento, CA 95827-1328 2019-08-15
1497926505 Gifted Healing Center Inc Community Based Residential Treatment Facility, Mental Illness 2251 Florin Rd Ste 133, 7654 22nd Street House of Umoja/rafa Porject, Sacramento, CA 95822-4491 2008-03-17
1033318878 Turning Point Community Programs Community Based Residential Treatment Facility, Mental Illness 5550 Meadow Park Way, Sacramento, CA 95823-5117 2007-07-12
1689876955 Transit and Living & Community Support Community Based Residential Treatment Facility, Mental Illness 1816 O St, Sacramento, CA 95814-6194 2007-05-31
1548389364 St. Therese's Haven Community Based Residential Treatment Facility, Mental Illness 7940 Golden Field Way, Sacramento, CA 95823-5209 2007-03-29
1164540381 G Street House Board & Care, Inc Community Based Residential Treatment Facility, Mental Illness 1700 G St, Sacramento, CA 95814-2119 2007-03-26
1922176981 Turning Point Crisis Residential Program Community Based Residential Treatment Facility, Mental Illness 4801 34th St, Sacramento, CA 95820-4849 2006-11-30
1821105115 Famille/famille, Inc Community Based Residential Treatment Facility, Mental Illness 6431 Hogan Dr, Sacramento, CA 95822-3840 2006-08-24
1063034130 Turning Point Community Programs Community Based Residential Treatment Facility, Mental Illness 3440 Viking Dr, Sacramento, CA 95827-2844 2020-05-12
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95820

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Dataset Information

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.

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