EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTER, INC. (NPI# 1104171289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104171289 |
| Entity Type | Organization |
| Organization Name | EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTER, INC. |
| Other Organization Name | EMPIRE OUTPATIENT SERVICES |
| Practice Address |
1616 West St Redding CA 96001-1726 |
| Mailing Address |
1237 California St. Redding CA 96001 |
| Practice Telephone | 5302437470 |
| Practice Fax Number | 5302437477 |
| Mailing Telephone | (530) 243-7470 |
| Mailing Fax Number | 5302437477 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | MARJEANNE LOUISE STONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5302437470 |
| Authorized Official Credential | BA, CADCII, ICAD |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPIRE HOTEL ALCOHOLIC REHABILITATION CENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
450001CN | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Empire Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387558 | Empire Hotel Alcoholic Rehabilitation Center, Inc. | Clinic/Center | 1237 California St, Redding, CA 96001-0618 | 2007-05-21 |
| Street Address |
1616 WEST ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374696 | Mishell S Knoess | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-24 |
| 1508474107 | Laura Mcardle | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-20 |
| 1649897968 | Amber M Drake | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-02 |
| 1841817251 | Marisa R Antonicic | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-01 |
| 1063031722 | Bryant Jake Williams Iv | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387558 | Empire Hotel Alcoholic Rehabilitation Center, Inc. | Clinic/Center | 1237 California St, Redding, CA 96001-0618 | 2007-05-21 |
| 1124355896 | Shasta County Perinatal Treatment Services | Clinic/Center | 1506 Market St, Redding, CA 96001-1023 | 2009-11-17 |
| 1447347778 | Shasta County Alcohol and Drug Programs | Clinic/Center | 2640 Breslauer Way, Redding, CA 96001-4246 | 2006-10-06 |
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| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| 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.