GRANITE WELLNESS CENTERS (NPI# 1518184621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518184621 |
| Entity Type | Organization |
| Organization Name | GRANITE WELLNESS CENTERS |
| Other Organization Name | COMMUNITY RECOVERY RESOURCES |
| Practice Address |
12125 Shale Ridge Ln Auburn CA 95602-8880 |
| Mailing Address |
Po Box 6028 Auburn CA 95604-6028 |
| Practice Telephone | 5308851917 |
| Practice Fax Number | 5308851169 |
| Mailing Telephone | 5308785166 |
| Mailing Fax Number | 9167978979 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | ELAINE EBBERT (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 5308785166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 310019BN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Auburn Campus Residential Program | Doing Business As Name - Organization |
| Community Recovery Resources | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912277864 | Granite Wellness Centers | Community/Behavioral Health | 8491 North Lake Blvd., Kings Beach, CA 96143 | 2012-01-10 |
| 1710257704 | Granite Wellness Centers | Community/Behavioral Health | 12183 Locksley Ln Ste 101-105, Auburn, CA 95602-2004 | 2012-01-06 |
| 1376727693 | Granite Wellness Centers | Community/Behavioral Health | 10015 Palisades Dr, Ste 1, Truckee, CA 96161-1901 | 2007-12-21 |
| 1255526042 | Granite Wellness Centers | Community/Behavioral Health | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2007-09-13 |
| 1376747709 | Granite Wellness Centers | Community/Behavioral Health | 1530 3rd St Ste 106, Lincoln, CA 95648-2500 | 2007-06-11 |
| 1235644071 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 145 Bost Ave, Nevada City, CA 95959-3249 | 2017-12-01 |
| 1285860403 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2009-06-02 |
| 1750500237 | Granite Wellness Centers | Community/Behavioral Health | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2007-04-24 |
| Street Address |
12125 SHALE RIDGE LN |
| City | AUBURN |
| State | CA |
| Zip Code | 95602-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463134 | Tyann J Stebbins | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2020-10-06 |
| 1457962557 | Greyson C Guzman | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2020-08-12 |
| 1669095865 | Marques P Whitfield | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2020-05-21 |
| 1639706930 | Jennifer L Kittelman | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2020-03-25 |
| 1821629544 | Liana A Elliott | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2020-01-31 |
| 1356988513 | Jessica Mont-eton | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2019-12-06 |
| 1720621402 | Jillian G Ramos | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2019-10-24 |
| 1497309009 | Erika A Morrow | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2019-07-31 |
| 1982261558 | Danny L Johnson | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2019-05-20 |
| 1053874610 | Ashley Lynn Fox | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
| 1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
| 1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
| 1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
| 1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
| 1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
| Find all providers in zip 95602 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408378 | Allendale LLC | Substance Abuse Rehabilitation Facility | 5419 County Road 427, Auburn, IN 46706-9504 | 2019-10-14 |
| 1396067336 | Stacey Margaret Miner | Substance Abuse Rehabilitation Facility | 197 E Hillcrest Dr, Auburn, CA 95603-3104 | 2010-02-18 |
| 1275707317 | Morgan Counseling Inc. | Substance Abuse Rehabilitation Facility | 4204 Auburn Way N, Suite #8, Auburn, WA 98002-1379 | 2008-04-18 |
| 1821118456 | James N. Hardwick | Substance Abuse Rehabilitation Facility | 1254 High St, Auburn, CA 95603-5015 | 2007-03-29 |
| 1871807594 | Kendra Suzanne Deem | Substance Abuse Rehabilitation Facility | 1254 High St, Auburn, CA 95603-5015 | 2010-08-05 |
| 1952576498 | Hope, Help & Healing Inc | Substance Abuse Rehabilitation Facility | 11960 Heritage Oak Pl, Suite #20, Auburn, CA 95603-2401 | 2008-04-25 |
| 1255544953 | Eagle Recovery Programs | Substance Abuse Rehabilitation Facility | 12183 Locksley Ln Ste 101, Auburn, CA 95602-2050 | 2007-05-08 |
| 1881813905 | James Nolan Hardwick | Substance Abuse Rehabilitation Facility | 199 Hoffman Ave, Auburn, CA 95603-4209 | 2007-04-25 |
| 1225178445 | Recovery Counseling, LLC | Substance Abuse Rehabilitation Facility | 188 Genesee St, Suite 104, Auburn, NY 13021-3324 | 2007-02-07 |
| 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 |
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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.