SUCCESS IN RECOVERY, INC (NPI# 1053962688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053962688 |
| Entity Type | Organization |
| Organization Name | SUCCESS IN RECOVERY, INC |
| Practice Address |
3713 W Howard Ave Visalia CA 93277-4027 |
| Mailing Address |
Po Box 2556 Visalia CA 93279-2556 |
| Practice Telephone | 5596279848 |
| Mailing Telephone | 5596354780 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | BRAD HARNESS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5596354780 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUCCESS IN RECOVERY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275013856 | Success In Recovery, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3424 W Packwood Ave, Visalia, CA 93277-5000 | 2018-08-14 |
| Street Address |
3713 W HOWARD AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93277-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386776433 | Melissa Rubalcava | Licensed Vocational Nurse | 3713 W Howard Ave, Visalia, CA 93277-4027 | 2007-03-12 |
| 1861998098 | Laura Michelle Noelle | Counselor | 3713 W Howard Ave, Visalia, CA 93277-4027 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1093341307 | Kings Medical Center | Occupational Therapist | 5135 W. Noble Ave, Visalia, CA 93277 | 2020-03-18 |
| 1447728738 | Azucena Alcantar | Behavior Technician | 1730 W. Walnut Avenue, Suite A, Visalia, CA 93277 | 2018-11-05 |
| 1770077620 | Debra Kay Schmitt | Social Worker | 4150 S Demaree St Ste C, Visalia, CA 93277 | 2018-06-14 |
| 1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
| 1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
| 1386141497 | Sara Hoehn | Assistant Behavior Analyst | 11535 Rd. 264, Visalia, CA 93277 | 2018-04-06 |
| 1578074035 | Yan Jiang | Nurse Practitioner | 1633 S Court Stress, Visalia, CA 93277 | 2017-10-23 |
| 1407375702 | Tara Perez | Counselor | 6500 S. Mooney Blvd, Visalia, CA 93277 | 2017-09-18 |
| 1780106948 | Brooke Kiyo Norton | Psychologist | 5215 W Noble Ave, Suite A-19, Visalia, CA 93277 | 2017-07-10 |
| Find all providers in zip 93277 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275013856 | Success In Recovery, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3424 W Packwood Ave, Visalia, CA 93277-5000 | 2018-08-14 |
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|---|---|---|---|---|
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| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| 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.