VICTOR TREATMENT CENTERS, INC. (NPI# 1407345317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407345317 |
| Entity Type | Organization |
| Organization Name | VICTOR TREATMENT CENTERS, INC. |
| Other Organization Name | VTC LOGAN HOUSE |
| Practice Address |
21282 Tia Mia Ln Redding CA 96003-9359 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 5302230604 |
| Mailing Telephone | 5308930758 |
| Mailing Fax Number | 5308930502 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | ANGIE R WIECHERT (CONTROLLER) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY NUMBER | 00118 | 01 |
| Other Name | Type Code |
|---|---|
| VTC Logan House | Other Name - Individual/Organization |
| 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 |
| 1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 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 |
| 1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
| 1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
| 1487218830 | Victor Treatment Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3244 E Green St, Pasadena, CA 91107-3836 | 2019-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VICTOR TREATMENT CENTERS, INC. | 1360 E Lassen Ave, Chico, CA 95973-7823 |
| Street Address |
21282 TIA MIA LN |
| City | REDDING |
| State | CA |
| Zip Code | 96003-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| 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 |
|---|---|---|---|---|
| 1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
| 1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
| 1760972210 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 855 Canyon Rd, Redding, CA 96001 | 2018-05-10 |
| 1548713027 | Hillcrest Community Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1890 Park Marina Dr, Suite 110, Redding, CA 96001-0961 | 2016-08-01 |
| 1730513557 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 855 Canyon Rd, Redding, CA 96001-5544 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
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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 | ||||
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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.