CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER (NPI# 1144343138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144343138 |
| Entity Type | Organization |
| Organization Name | CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER |
| Practice Address |
3250 Guerneville Rd Santa Rosa CA 95401-4030 |
| Mailing Address |
Po Box 4869 Santa Rosa CA 95402-4869 |
| Practice Telephone | 7075794066 |
| Practice Fax Number | 7075791603 |
| Mailing Telephone | 7072841235 |
| Mailing Fax Number | 7072841236 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | WILLIAM L TWITCHELL (OWNER CEO) |
| Authorized Official Telephone | 7072841235 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 490002AP | CA | Residential Treatment Facilities |
| Street Address |
3250 GUERNEVILLE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
| 1841344181 | Department of Health Services | Substance Abuse Rehabilitation Facility | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2007-01-23 |
| 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 | 95401 |
Please comment or provide details below to improve the information on CAMPOBELLO CHEMICAL DEPENDENCY RECOVERY CENTER.
| 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.