WATERFRONT RECOVERY SERVICES


Address: 2413 2nd St, Eureka, CA 95501-0811
Phone: 7072699590

WATERFRONT RECOVERY SERVICES (NPI# 1417307125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417307125
Entity Type Organization
Organization Name WATERFRONT RECOVERY SERVICES
Other Organization Name WATERFRONT RECOVERY SERVICES
Practice Address 2413 2nd St
Eureka
CA 95501-0811
Mailing Address 2109 Broadway Ste A
Eureka
CA 95501-2106
Practice Telephone 7072699590
Practice Fax Number 7074452599
Mailing Telephone 7074451391
Mailing Fax Number 7074452599
Enumeration Date 2016-06-14
Last Update Date 2017-11-13
Authorized Official Name JOHN BERNARD MCMANUS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7074451391
Authorized Official Credential CATC
Is Organization Subpart Y
Parent Organization Name ALCOHOL DRUG CARE SERVICES,INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 120009AN CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Waterfront Recovery Services Doing Business As Name - Organization

Office Location

Street Address 2413 2ND ST
City EUREKA
State CA
Zip Code 95501-0811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790821833 Jana Moser Marriage & Family Therapist 2413 2nd St, Eureka, CA 95501-0811 2007-01-29
1437615879 Everett Douglas Allen Internal Medicine 2413 2nd St, Eureka, CA 95501-0811 2019-02-11
1164818068 Jasmin Jimenez Student in an Organized Health Care Education/Training Program 2413 2nd St, Eureka, CA 95501-0811 2015-04-08
1306237631 Carrie Collins Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2015-02-09
1487042156 Candis Danielson Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2015-01-05
1689070740 Marie Milano Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2014-11-17
1558770313 Lindsay Stout Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2014-08-06
1619385903 Forrest Hale Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2014-07-30
1417362062 Joanna Moore Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2014-06-23
1174936017 Kim Hagans Case Manager/Care Coordinator 2413 2nd St, Eureka, CA 95501-0811 2014-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
Find all providers in zip 95501

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1235689290 Adcs Women's Residential Substance Abuse Rehabilitation Facility 1742 J St, Eureka, CA 95501-2648 2016-10-13
1467739003 Alcohol Drug Care Services,inc. Substance Abuse Rehabilitation Facility 528 5th St, Eureka, CA 95501-1033 2011-11-10

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City EUREKA
Zip Code 95501

Improve Information

Please comment or provide details below to improve the information on WATERFRONT RECOVERY SERVICES.

Dataset Information

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.

Trending Searches