VETERANS ALCOHOLIC REHABILITATION PROGRAM, INC. (NPI# 1386000743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386000743 |
| Entity Type | Organization |
| Organization Name | VETERANS ALCOHOLIC REHABILITATION PROGRAM, INC. |
| Other Organization Name | VARP, INC. |
| Practice Address |
9826 18th Ave Blythe CA 92225-9229 |
| Mailing Address |
1100 N D St San Bernardino CA 92410-3524 |
| Practice Telephone | 9093813774 |
| Practice Fax Number | 9093816845 |
| Mailing Telephone | 9093813774 |
| Mailing Fax Number | 9093816845 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | MR. OSCAR JIMENEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9093813774 |
| Is Organization Subpart | Y |
| Parent Organization Name | VETERANS ALCOHOLIC REHABILITATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 360004FN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| VARP, INC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639621865 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 349 W 11th St, San Bernardino, CA 92410-3513 | 2016-11-04 |
| 1780041277 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 384 11th St., San Bernardino, CA 92410-3524 | 2016-01-28 |
| 1508223090 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1069 N. 'd' St., San Bernardino, CA 92410-3524 | 2016-01-28 |
| 1821455403 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 382 11th St., San Bernardino, CA 92410-3524 | 2016-01-27 |
| 1861859464 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1103 N. 'd' St., San Bernadino, CA 92410-3524 | 2016-01-27 |
| 1891152476 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1107 N. 'd' St., San Bernardino, CA 92410-3524 | 2016-01-27 |
| 1154788743 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1139 N. 'd' St., San Bernardino, CA 92410-3524 | 2016-01-27 |
| 1588021182 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1149 N. 'd' St., San Bernardino, CA 92410-3524 | 2016-01-27 |
| 1043677636 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1087 Stoddard St., San Bernardino, CA 92410-3524 | 2016-01-27 |
| 1699132282 | Veterans Alcoholic Rehabilitation Program, Inc. | Substance Abuse Rehabilitation Facility | 1078 North 'd' St., San Bernardino, CA 92410-3524 | 2016-01-27 |
| Street Address |
9826 18TH AVE |
| City | BLYTHE |
| State | CA |
| Zip Code | 92225-9229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396026290 | Steven Paul Flores | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2011-09-06 |
| 1639795933 | Elijah Robison | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2020-06-23 |
| 1073146668 | Eddie Vega | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2020-02-21 |
| 1962035071 | Steven Sanchez Carrion Sr. | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2020-02-17 |
| 1922643733 | Brandon Lee Kirby | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2019-11-15 |
| 1881163012 | Veronica Mercedes Munoz | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2018-11-16 |
| 1205335718 | Timothy Lawrence Barrett | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2018-02-09 |
| 1841799111 | Kale Ryan Hardwick | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2018-02-01 |
| 1518400126 | Michelle Perez | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2016-11-30 |
| 1912359696 | Julio Rocha | Counselor | 9826 18th Ave, Blythe, CA 92225-9229 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| 1760890982 | Keith Hoyt Wells I | Pharmacist | 616 E. Hobson Way, Blythe, CA 92225 | 2014-07-31 |
| 1447673967 | Silvia Herrera | Nurse Practitioner | 332 W Hobson Way, Blythe, CA 92225 | 2014-02-04 |
| 1821262767 | Marvin Paul Vernon | Social Worker | 246 N Hobson Way, Blythe, CA 92225 | 2008-04-22 |
| 1083882492 | Blythe Eye Care Medical Group | Optometrist | 600 E Hobson Way, Blythe, CA 92225 | 2008-02-19 |
| 1215159553 | Douglas John Meyer | Physical Therapist | 205 N. First Street, Suite E, Blythe, CA 92225 | 2007-05-03 |
| 1598895955 | Emmanuel R Mofu | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2007-03-06 |
| 1154408961 | Sheereen Ahranjani | Social Worker | 1297 W. Hobsonway, Blythe, CA 92225 | 2006-11-01 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| Find all providers in zip 92225 | ||||
| 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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|---|---|---|---|---|
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| 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 |
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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.