DEPARTMENT OF HEALTH SERVICES


Address: 1430 Neotomas Ave, Santa Rosa, CA 95405-7575
Phone: 7075657450

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1430 NEOTOMAS AVE
City SANTA ROSA
State CA
Zip Code 95405-7575

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95405

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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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