REDWOOD COMMUNITY SERVICES, INC (NPI# 1558702795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558702795 |
| Entity Type | Organization |
| Organization Name | REDWOOD COMMUNITY SERVICES, INC |
| Practice Address |
800 N. State Street (rcs - Mffa / Tfc) Ukiah CA 95482 |
| Mailing Address |
Po Box 2077 800 N. State Street (rcs-mffa) Ukiah CA 95482-0422 |
| Practice Telephone | 7074672000 |
| Practice Fax Number | 7074672018 |
| Mailing Telephone | 7074672000 |
| Mailing Fax Number | 7074672018 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MRS. VICTORIA JERSUHA KELLY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7074672010 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | REDWOOD COMMUNITY SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FFA FACILITY NUMBER | 236803532 | 01 |
| Other Name | Type Code |
|---|---|
| Redwood Community Crisis Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174778674 | Redwood Community Services, Inc | Case Management | 150 Gibson St, Ukiah, CA 95482-3941 | 2008-11-25 |
| 1407351653 | Redwood Community Services, Inc | Case Management | 110 E Mendocino Ave, Willits, CA 95490-3508 | 2018-03-29 |
| 1518418482 | Redwood Community Services, Inc | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-10-17 |
| 1265897029 | Redwood Community Services, Inc | Case Management | 675 1st St, Upper Lake, CA 95485 | 2015-12-22 |
| 1528496619 | Redwood Community Services, Inc | Private Vehicle | 544 S Main St, Fort Bragg, CA 95437-5107 | 2013-10-29 |
| 1366709461 | Redwood Community Services, Inc | Counselor | 154 S Main St, Lakeport, CA 95453-5017 | 2012-04-13 |
| 1831237015 | Redwood Community Services, Inc | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2007-02-01 |
| Street Address |
800 N. STATE STREET (RCS - MFFA / TFC) |
| City | UKIAH |
| State | CA |
| Zip Code | 95482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110088 | Wynspring Family Resource Center | Foster Care Agency | 2211 Park Towne Cir Ste 4, Sacramento, CA 95825-0414 | 2020-09-23 |
| 1285256438 | Latino Family Institute, Inc. | Foster Care Agency | 1501 W Cameron Ave Ste 240, West Covina, CA 91790-2733 | 2020-05-11 |
| 1356984264 | Garces Residential Care Services | Foster Care Agency | 7349 Milliken Ave # 140-223, Rancho Cucamonga, CA 91730-7435 | 2019-10-23 |
| 1265086094 | The Heart Matters Foster Family Agency | Foster Care Agency | 21935 Van Buren St Ste B-7, Grand Terrace, CA 92313-5652 | 2019-07-30 |
| 1346892072 | Nalcs | Foster Care Agency | 439 N Maclay Ave, San Fernando, CA 91340-2416 | 2019-07-12 |
| 1477105104 | Nalcs | Foster Care Agency | 1085 W Badillo St, Covina, CA 91722-4112 | 2019-07-12 |
| 1407408131 | Nalcs | Foster Care Agency | 322 W Katella Ave Ste 5-b, Orange, CA 92867-4759 | 2019-07-12 |
| 1316508542 | Nalcs | Foster Care Agency | 5400 Pomona Blvd, Los Angeles, CA 90022-1717 | 2019-06-27 |
| 1427519784 | Wayfinder Family Services | Foster Care Agency | 1045 Bonita Ave, La Verne, CA 91750-5109 | 2019-03-28 |
| 1437617784 | Koinonia Foster Homes, Inc. | Foster Care Agency | 6331 King Rd, Loomis, CA 95650-8801 | 2019-03-06 |
| 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.