GRANITE WELLNESS CENTERS (NPI# 1710257704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710257704 |
| Entity Type | Organization |
| Organization Name | GRANITE WELLNESS CENTERS |
| Other Organization Name | COMMUNITY RECOVERY RESOURCES |
| Practice Address |
12183 Locksley Ln Ste 101-105 Auburn CA 95602-2004 |
| Mailing Address |
Po Box 6028 Auburn CA 95604-6028 |
| Practice Telephone | 5308851961 |
| Practice Fax Number | 5308891304 |
| Mailing Telephone | 5308785166 |
| Mailing Fax Number | 9167978979 |
| Enumeration Date | 2012-01-06 |
| 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 | 251S00000X | Community/Behavioral Health | 310019AN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 31AC | 01 |
| Other Name | Type Code |
|---|---|
| Auburn Campus | 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 |
| 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 |
| 1518184621 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2007-04-19 |
| 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 |
12183 LOCKSLEY LN STE 101-105 |
| City | AUBURN |
| State | CA |
| Zip Code | 95602-2004 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414972 | Brenda Chynoweth LLC | Community/Behavioral Health | 703 E Glenn Ave Ste D, Auburn, AL 36830-5016 | 2020-07-16 |
| 1821619453 | Abilities Unlimited LLC | Community/Behavioral Health | 1761 Wire Rd Apt 4-7, Auburn, AL 36832-6645 | 2020-05-05 |
| 1366907768 | Jenna M Mccully | Community/Behavioral Health | 21 Appalachee Church Rd, Auburn, GA 30011-3620 | 2019-02-10 |
| 1376036871 | Katrina Brown, Marriage and Family Therapist, Inc. | Community/Behavioral Health | 1167 High St, Auburn, CA 95603-5130 | 2018-06-08 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1730564907 | Hope Help George Brummell Counseling, LLC | Community/Behavioral Health | 230 Auburn Way S Ste 1b, Auburn, WA 98002-5451 | 2015-07-29 |
| 1235537499 | Lifetime Personal Care Home, Lnc. | Community/Behavioral Health | 40 Auburn Park Drive, Auburn, GA 30011 | 2014-12-19 |
| 1417353814 | My Choice Programs, Inc. | Community/Behavioral Health | 781 Southbridge St, Auburn, MA 01501-1336 | 2014-11-12 |
| 1346509775 | Essential Self, LLC | Community/Behavioral Health | 1501 15th St Nw, Suite 107, Auburn, WA 98001-3507 | 2012-05-04 |
| 1295053429 | Health Affiliates Maine | Community/Behavioral Health | 158 Court St, Auburn, ME 04210-5907 | 2010-05-12 |
| Find all providers in AUBURN | ||||
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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.