CLEAN & SOBER RECOVERY SERVICES INC. (NPI# 1528227840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528227840 |
| Entity Type | Organization |
| Organization Name | CLEAN & SOBER RECOVERY SERVICES INC. |
| Other Organization Name | CLEAN & SOBER RECOVERY HOME INC. |
| Practice Address |
5820 Chestnut Ave Orangevale CA 95662-4807 |
| Practice Telephone | 9169900190 |
| Practice Fax Number | 9169900193 |
| Mailing Telephone | 9169900190 |
| Mailing Fax Number | 9169900193 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MR. JOHN DAVID PERRY (PRESIDENT) |
| Authorized Official Telephone | 9169900190 |
| Authorized Official Credential | CADC-CAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 340093AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Clean & Sober Recovery Home Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922541317 | Clean & Sober Recovery Services Inc. | Clinic/Center | 9198 Greenback Ln, Suite 101, Orangevale, CA 95662-5900 | 2016-12-02 |
| Street Address |
5820 CHESTNUT AVE |
| City | ORANGEVALE |
| State | CA |
| Zip Code | 95662-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027338 | Susan Kaefer | Physical Therapist | 9525 Tremont Court, Orangevale, CA 95662 | 2018-03-22 |
| 1568918209 | William Parker Henderson | Specialist/Technologist | 9201 Madison Ave #235, Orangevale, CA 95662 | 2016-09-01 |
| 1558665745 | Gary C White Optometric Corporation | Optometrist | 8836 Greenback Lane Ste F, Orangevale, CA 95662 | 2011-01-02 |
| 1679634877 | Troy M Mauvais | Chiropractor | 8836 Greenback Ln, Ste B, Orangevale, CA 95662 | 2006-12-12 |
| 1821169830 | Peter W Worth | Dentist | 9197 Greenback Lane, Suite A, Orangevale, CA 95662 | 2006-11-13 |
| 1497763866 | Peter D Lopresti | Chiropractor | 9198 Greenback Lane, Suite 112, Orangevale, CA 95662 | 2006-08-03 |
| 1245454297 | Cheryl Ann Lee | Massage Therapist | 9198 Greenback Ln, #208, Orangevale, CA 95662 | 2007-04-12 |
| 1144735614 | Ondrea Lynn Cumbra | Behavior Technician | 8783 Steven Ave, Orangevale, CA 95662-2110 | 2017-12-06 |
| 1760963540 | Rajena Atwal | Pharmacist | 10040 Hadleigh Dr, Orangevale, CA 95662-2234 | 2018-08-28 |
| 1134580228 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7441 Hickory Ave, Orangevale, CA 95662-2305 | 2016-03-16 |
| Find all providers in zip 95662 | ||||
| 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 |
|---|---|---|---|---|
| 1265086201 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8782 Sherry Dr, Orangevale, CA 95662-4534 | 2019-07-29 |
| 1548813009 | Cdt Service Corporation | Substance Abuse Rehabilitation Facility | 8780 Sherry Dr, Orangevale, CA 95662-4534 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
| City | ORANGEVALE |
| Zip Code | 95662 |
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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.