UJIMA FAMILY RECOVERY SERVICES (NPI# 1366563900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366563900 |
| Entity Type | Organization |
| Organization Name | UJIMA FAMILY RECOVERY SERVICES |
| Practice Address |
127 Grenadine Way Hercules CA 94547-2041 |
| Mailing Address |
1901 Church Ln San Pablo CA 94806-3707 |
| Practice Telephone | 5107991570 |
| Practice Fax Number | 5107991866 |
| Mailing Telephone | 5102363139 |
| Mailing Fax Number | 5102363200 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RITA B SCHANK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5102363139 |
| Authorized Official Credential | M.P.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 070008KN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891127247 | Ujima Family Recovery Services | Counselor | 369 E Leland Rd, Pittsburg, CA 94565-4911 | 2013-08-07 |
| 1043429319 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1515 24th St, San Pablo, CA 94806-4505 | 2007-05-22 |
| 1033326095 | Ujima Family Recovery Services | Clinic/Center | 251 Georgia Street, Vallejo, CA 94590 | 2007-05-17 |
| 1457474959 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 919 Mellus St, Martinez, CA 94553-1744 | 2007-04-09 |
| 1902929409 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1916 Church Ln, San Pablo, CA 94806-3708 | 2007-04-09 |
| 1245352962 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1901 Church Ln, San Pablo, CA 94806-3707 | 2007-04-04 |
| 1205957057 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 904 Mellus St, Martinez, CA 94553-1745 | 2007-04-02 |
| 1881002541 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 12960 San Pablo Ave, Richmond, CA 94805-1307 | 2014-07-25 |
| 1346516739 | Ujima Family Recovery Services | Counselor | 2975 Treat Blvd, Suite B-5, Concord, CA 94518-3601 | 2012-03-29 |
| 1881960284 | Ujima Family Recovery Services | Case Management | 400 Ellinwood Way, Pleasant Hill, CA 94523-7785 | 2012-03-29 |
| Street Address |
127 GRENADINE WAY |
| City | HERCULES |
| State | CA |
| Zip Code | 94547-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457598211 | Joyce Penalver | Marriage & Family Therapist | 127 Grenadine Way, Hercules, CA 94547-2041 | 2009-01-15 |
| 1760686992 | Terry K Hatcher | Counselor | 127 Grenadine Way, Hercules, CA 94547-2041 | 2007-06-12 |
| 1124221643 | Phinnillipa Degruy | Counselor | 127 Grenadine Way, Hercules, CA 94547-2041 | 2007-06-11 |
| 1922201458 | Caryn Ann Brock | Counselor | 127 Grenadine Way, Hercules, CA 94547-2041 | 2007-06-11 |
| 1619171147 | Dawn Yvette Murray | Counselor | 127 Grenadine Way, Hercules, CA 94547-2041 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| Find all providers in zip 94547 | ||||
| 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] |
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| 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 | ||||
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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.