DEPARTMENT OF HEALTH SERVICES (NPI# 1841344181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841344181 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF HEALTH SERVICES |
Practice Address |
1430 Neotomas Ave Santa Rosa CA 95405-7575 |
Practice Telephone | 7075657450 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DIANA L. STORNETTA (ACCOUNTANT III COMPLIANCE) |
Authorized Official Telephone | 7075654782 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295167070 | Department of Health Services | Clinic/Center | 810 Grove St, Sonoma, CA 95476-5328 | 2013-08-05 |
1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
1407068992 | Department of Health Services | Clinic/Center | 617 W 9th St, Santa Rosa, CA 95401-5438 | 2007-05-04 |
1639207103 | Department of Health Services | Clinic/Center | 3400 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-02-28 |
1205980547 | Department of Health Services | Clinic/Center | 415 Riley Street, Santa Rosa, CA 95404 | 2007-01-23 |
1114071453 | Department of Health Services | Clinic/Center | 155 N. Pythian Road, Santa Rosa, CA 95409 | 2007-01-23 |
1376696914 | Department of Health Services | Clinic/Center | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2007-01-18 |
1043668023 | Department of Health Services | Clinic/Center | 450 Bauchet St, Msb ----room E873, Los Angeles, CA 90012-2907 | 2016-05-31 |
1386076156 | Department of Health Services | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-08-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES | 50 Douglas Dr Ste 310a, Martinez, CA 94553-4003 |
System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES/CLINICS | 4600 Broadway Ste 2500, Sacramento, CA 95820-1527 |
Street Address |
1430 NEOTOMAS AVE |
City | SANTA ROSA |
State | CA |
Zip Code | 95405-7575 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871190199 | Paricia Maloney | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2020-10-09 |
1326659400 | Aaron Lee Mcclymonds | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2020-08-12 |
1427666965 | Nata Oberg | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2020-07-21 |
1336761675 | Tim H Oconnor | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2020-05-09 |
1861012221 | Tinamarie Sanchez | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2020-04-25 |
1629698105 | Alena C Ragueneau | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2020-04-24 |
1609418227 | Emilia Espinosa | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2019-10-15 |
1194284661 | Christina Dawn Madden | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2019-03-14 |
1023527629 | Gayle Lynn Clay | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2017-09-26 |
1982135661 | Deborah Averhart | Counselor | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2017-03-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
Find all providers in zip 95405 |
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 |
---|---|---|---|---|
1003383209 | The Camp Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 420 Mendocino Ave, Santa Rosa, CA 95401-6374 | 2018-10-26 |
1346618881 | California Human Development Corporation | Substance Abuse Rehabilitation Facility | 3555 Sonoma Hwy, Santa Rosa, CA 95409-4024 | 2015-09-14 |
1619229945 | Mary J Torrance | Substance Abuse Rehabilitation Facility | 725 Cherry St, Santa Rosa, CA 95404-4204 | 2012-10-10 |
1770897738 | Drug Abuse Alternatives Center | Substance Abuse Rehabilitation Facility | 1430 Neotomas Avenue, Santa Rosa, CA 95405-7575 | 2010-08-02 |
1356512032 | California Human Develpment Corporation | Substance Abuse Rehabilitation Facility | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2008-03-20 |
1528277969 | R House, Inc. | Substance Abuse Rehabilitation Facility | 152 Middle Rincon Rd, Santa Rosa, CA 95409-3409 | 2007-05-22 |
1144343138 | Campobello Chemical Dependency Recovery Center | Substance Abuse Rehabilitation Facility | 3250 Guerneville Rd, Santa Rosa, CA 95401-4030 | 2007-04-06 |
1336690569 | Robin Rugne | Substance Abuse Rehabilitation Facility | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2016-10-24 |
1588112650 | Richard Slottow | Substance Abuse Rehabilitation Facility | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2016-09-16 |
1184096679 | Women's Recovery Services | Substance Abuse Rehabilitation Facility | 98 Hendley St, Santa Rosa, CA 95404-5025 | 2015-10-23 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95405 |
Please comment or provide details below to improve the information on DEPARTMENT OF HEALTH SERVICES.
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.