R HOUSE, INC. (NPI# 1346459781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346459781 |
| Entity Type | Organization |
| Organization Name | R HOUSE, INC. |
| Practice Address |
183 Pythian Rd Santa Rosa CA 95409-6518 |
| Mailing Address |
Po Box 2587 Santa Rosa CA 95405-0587 |
| Practice Telephone | 7075712215 |
| Practice Fax Number | 7075269672 |
| Mailing Telephone | 7075712215 |
| Mailing Fax Number | 7075269672 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | MIMI G DONOHUE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7075712215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 496801971 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477889210 | R House, Inc. | Substance Abuse Rehabilitation Facility | 540c Middle Rincon Road, Santa Rosa, CA 95409 | 2009-10-29 |
| 1528277969 | R House, Inc. | Substance Abuse Rehabilitation Facility | 152 Middle Rincon Rd, Santa Rosa, CA 95409-3409 | 2007-05-22 |
| 1760516702 | R House, Inc. | Substance Abuse Rehabilitation Facility | 429 Speers Road, Santa Rosa, CA 95409 | 2007-03-14 |
| 1205030103 | R House, Inc. | Clinic/Center | 1207 Cleveland Ave, Santa Rosa, CA 95401-4729 | 2007-06-13 |
| Street Address |
183 PYTHIAN RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982738480 | Inger Lise Ingvartsen | Social Worker | 183 Pythian Rd, Santa Rosa, CA 95409-6518 | 2007-03-15 |
| 1578877874 | Brandon Zagami | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-07-29 |
| 1750695060 | Richard Ott | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-07-28 |
| 1609180017 | Matt Hook | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-07-28 |
| 1720392079 | Octavio Nunez | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-07-28 |
| 1407160807 | Paul Brownd | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-07-28 |
| 1942514393 | Jamie Levin | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-07-27 |
| 1669795894 | Emmett T Caven | Counselor | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2010-03-02 |
| 1639362924 | Kari Lockwood | Marriage & Family Therapist | 183 Pythian Rd, Santa Rosa, CA 95409-6541 | 2007-08-21 |
| 1801910013 | Janine M Pohorski | Marriage & Family Therapist | 183 Pythian Rd, Santa Rosa, CA 95409-6518 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| 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 |
|---|---|---|---|---|
| 1346739273 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 600 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1891284725 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 620 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1346739265 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1136 Clover Dr, Santa Rosa, CA 95401-4512 | 2018-05-07 |
| 1417446493 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 520 Oasis Dr, Santa Rosa, CA 95407-7717 | 2018-05-06 |
| 1063901049 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 565 Piezzi Rd, Santa Rosa, CA 95401-5536 | 2018-05-06 |
| 1457841918 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2018-05-10 |
| 1174965214 | Victor Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2013-07-17 |
| 1518304138 | Victor Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 3164 Condo Ct, Santa Rosa, CA 95403-2557 | 2013-05-23 |
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| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
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| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 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 | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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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.