SHASTA COUNTY ALCOHOL AND DRUG PROGRAMS (NPI# 1447347778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447347778 |
| Entity Type | Organization |
| Organization Name | SHASTA COUNTY ALCOHOL AND DRUG PROGRAMS |
| Practice Address |
2640 Breslauer Way Redding CA 96001-4246 |
| Practice Telephone | 5302456419 |
| Practice Fax Number | 5302255232 |
| Mailing Telephone | 5302255240 |
| Mailing Fax Number | 5302255232 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMIE HANNIGAN (SENIOR STAFF ANALYST) |
| Authorized Official Telephone | 5302456419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
4516 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDI-CAL PROVIDER # | 4516 | 01 |
| Street Address |
2640 BRESLAUER WAY |
| City | REDDING |
| State | CA |
| Zip Code | 96001-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692390 | County of Shasta | Community/Behavioral Health | 2640 Breslauer Way, Redding, CA 96001-4246 | 2005-07-08 |
| 1962018416 | Jacob Nathaniel Mccoard | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
| 1871109322 | Lovely Lobo | Registered Nurse | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
| 1477167138 | Shelly Bennett | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-01 |
| 1033727896 | Rachel Puleo-chankin | Assistant Behavior Analyst | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-07-17 |
| 1518593078 | Teaanna Wood | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-17 |
| 1992331789 | Juanita L Garcia | Counselor | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-12 |
| 1306486469 | Charles Markham | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-01-07 |
| 1215574165 | Karah Annmarie Harbuck | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-12-10 |
| 1437796372 | Chante Charae Hopper | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387558 | Empire Hotel Alcoholic Rehabilitation Center, Inc. | Clinic/Center | 1237 California St, Redding, CA 96001-0618 | 2007-05-21 |
| 1124355896 | Shasta County Perinatal Treatment Services | Clinic/Center | 1506 Market St, Redding, CA 96001-1023 | 2009-11-17 |
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| 1609476845 | Vanity Wellness Center Incorporated | Clinic/Center | 19935 Ventura Blvd Fl 1, Woodland Hills, CA 91364-9605 | 2020-10-27 |
| 1184230328 | Recovery & Resilience Centers | Clinic/Center | 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 | 2020-09-22 |
| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
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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.