WILLOW GLEN CARE CENTER (NPI# 1760819767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760819767 |
| Entity Type | Organization |
| Organization Name | WILLOW GLEN CARE CENTER |
| Other Organization Name | REDWOOD CREEK |
| Practice Address |
414 S Main St Willits CA 95490-3908 |
| Mailing Address |
1547 Plumas Ct Yuba City CA 95991-2960 |
| Practice Telephone | 7074596134 |
| Practice Fax Number | 7074599252 |
| Mailing Telephone | 5307519900 |
| Mailing Fax Number | 5307519915 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-12-23 |
| Authorized Official Name | MR. JEFF PAYNE (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 5307519904 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOW GLEN CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 236803329 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Redwood Creek | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790111391 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1541 Plumas Ct, Yuba City, CA 95991-2960 | 2013-09-16 |
| 1093156317 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 2753 White Ave, Chico, CA 95973-0496 | 2013-07-15 |
| 1730235722 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1547 Plumas Ct, Yuba City, CA 95991-2960 | 2007-01-25 |
| 1063022085 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1251 Stabler Ln, Yuba City, CA 95993-2616 | 2020-08-04 |
| 1932552072 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 556 Cohasset Rd, Chico, CA 95926-2212 | 2016-07-13 |
| 1053467688 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1547 Plumas Ct, Yuba City, CA 95991-2960 | 2007-01-26 |
| Street Address |
414 S MAIN ST |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
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| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 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.