GRANITE WELLNESS CENTERS (NPI# 1235644071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235644071 |
| Entity Type | Organization |
| Organization Name | GRANITE WELLNESS CENTERS |
| Other Organization Name | COMMUNITY RECOVERY RESOURCES |
| Practice Address |
145 Bost Ave Nevada City CA 95959-3249 |
| Mailing Address |
Po Box 6028 Auburn CA 95604-6028 |
| Practice Telephone | 5308785166 |
| Mailing Telephone | 5308785166 |
| Mailing Fax Number | 9167978979 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | ELAINE EBBERT (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 5308785166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 290002IN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Community Recovery Resources | Former Legal Business Name - Organization |
| Lovett Recovery Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912277864 | Granite Wellness Centers | Community/Behavioral Health | 8491 North Lake Blvd., Kings Beach, CA 96143 | 2012-01-10 |
| 1710257704 | Granite Wellness Centers | Community/Behavioral Health | 12183 Locksley Ln Ste 101-105, Auburn, CA 95602-2004 | 2012-01-06 |
| 1376727693 | Granite Wellness Centers | Community/Behavioral Health | 10015 Palisades Dr, Ste 1, Truckee, CA 96161-1901 | 2007-12-21 |
| 1255526042 | Granite Wellness Centers | Community/Behavioral Health | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2007-09-13 |
| 1376747709 | Granite Wellness Centers | Community/Behavioral Health | 1530 3rd St Ste 106, Lincoln, CA 95648-2500 | 2007-06-11 |
| 1518184621 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2007-04-19 |
| 1285860403 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2009-06-02 |
| 1750500237 | Granite Wellness Centers | Community/Behavioral Health | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2007-04-24 |
| Street Address |
145 BOST AVE |
| City | NEVADA CITY |
| State | CA |
| Zip Code | 95959-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063546083 | Carl Frederick Jefferson | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2007-03-14 |
| 1801493341 | Thomas J Burnett | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2020-10-07 |
| 1740822154 | Sandra N Marra | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2019-10-17 |
| 1750922456 | Alix M Andersen | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2019-10-03 |
| 1750863676 | Amy Cunag | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2018-09-06 |
| 1548775125 | James E Johnson | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2017-12-05 |
| 1578005393 | Jeffery Allan Johnson | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2016-11-10 |
| 1477949105 | Loran Gillaspy | Substance Abuse Rehabilitation Facility | 145 Bost Ave, Nevada City, CA 95959-3249 | 2015-04-09 |
| 1558781104 | William Miner Maguire Jr. | Specialist | 145 Bost Ave, Nevada City, CA 95959-3249 | 2014-04-22 |
| 1164749222 | Robert Stephen Ullom | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2010-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1699376210 | Michele Tsihlas | Health Educator | 18411 Tyler Foote Road, Nevada City, CA 95959 | 2020-11-02 |
| 1649835380 | Jared Shawn Dubose | Counselor | 24077 Ca 49, Nevada City, CA 95959 | 2019-05-08 |
| 1447755590 | Maria Scarano | Chiropractor | 513 Searls Ave, Unit 8, Nevada City, CA 95959 | 2018-03-29 |
| 1922559020 | Megan Allen | Counselor | 985 Helling Way, Nevada City, CA 95959 | 2016-10-24 |
| 1417331885 | Karla Diane Moore Pinola | Counselor | 150 Bost Avenue, Nevada City, CA 95959 | 2015-07-16 |
| 1700212263 | Victoria Moran | Marriage & Family Therapist | 206 Sacramento St Ste 203, Nevada City, CA 95959 | 2013-09-16 |
| 1528308905 | Justin Burkett | Acupuncturist | 101 Providence Mine Rd Ste 105b, Nevada City, CA 95959 | 2013-02-22 |
| 1114276623 | Michelle Dion Young | Case Manager/Care Coordinator | 138 New Mohawk #200, Nevad City, CA 95959 | 2012-08-30 |
| 1750668497 | Rachael Courtier | Social Worker | Sierra Family Medical Clinic, 15301 Tyler Foote Road, Nevada City, CA 95959 | 2011-11-09 |
| Find all providers in zip 95959 | ||||
| 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 |
|---|---|---|---|---|
| 1255476990 | Progress House, Inc. | Substance Abuse Rehabilitation Facility | Progress House Co-ed, 145 Bost Avenue, Nevada City, CA 95667 | 2007-02-20 |
| 1477949105 | Loran Gillaspy | Substance Abuse Rehabilitation Facility | 145 Bost Ave, Nevada City, CA 95959-3249 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | NEVADA CITY |
| Zip Code | 95959 |
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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.