CENTRAL VALLEY RECOVERY SERVICES, INC. (NPI# 1801256078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801256078 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY RECOVERY SERVICES, INC. |
| Other Organization Name | PINE RECOVERY CENTER |
| Practice Address |
120 W School Ave Visalia CA 93291-4925 |
| Practice Telephone | 5596254100 |
| Practice Fax Number | 5596251970 |
| Mailing Telephone | 5596254100 |
| Mailing Fax Number | 5596251970 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | MS. SHIRLEY KLUVER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5596252995 |
| Authorized Official Credential | CATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 540031BN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES LICENSE A | 540031BN | 01 |
| Other Name | Type Code |
|---|---|
| Pine Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891155065 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 212 N Stevenson St, Visalia, CA 93291-6024 | 2016-03-02 |
| 1619335239 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1425 E Walnut Ave, Visalia, CA 93292-1415 | 2016-02-10 |
| 1568816148 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-04-20 |
| 1780043455 | Central Valley Recovery Services, Inc. | Clinic/Center | 1731 W Walnut Ave, Visalia, CA 93277-6232 | 2016-02-23 |
| Street Address |
120 W SCHOOL AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390972 | Steve L Cummings | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2012-10-05 |
| 1538772934 | Anthony Lee Coggins | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2020-08-25 |
| 1083224000 | Seth D Liberty | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2020-08-04 |
| 1295364230 | Robert John Pace | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2020-04-02 |
| 1932758588 | Dustin O Cole | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2019-09-06 |
| 1770142101 | Samuel Adam Amos | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2019-06-10 |
| 1609332519 | Robert N. Kay | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2019-02-15 |
| 1720573371 | Eddie Flores Falcon | Counselor | 120 W School Ave, Visalia, CA 93291 | 2018-06-26 |
| 1669986626 | Larry Eugene Andrade II | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2017-11-28 |
| 1366987646 | Robbie Thompson I | Specialist | 120 W School Ave, Visalia, CA 93291-4925 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| 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 |
|---|---|---|---|---|
| 1891155065 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 212 N Stevenson St, Visalia, CA 93291-6024 | 2016-03-02 |
| 1619335239 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1425 E Walnut Ave, Visalia, CA 93292-1415 | 2016-02-10 |
| 1316247455 | Recovery Resources | Substance Abuse Rehabilitation Facility | 4040 South Demaree, Suite A, Visalia, CA 93277 | 2010-10-22 |
| 1043346067 | Central Valley Recovery Services, Inc.. | Substance Abuse Rehabilitation Facility | 320 W Oak Ave, Visalia, CA 93291-4929 | 2007-02-26 |
| 1760413215 | Tulare County Alcoholism Council, Inc. | Substance Abuse Rehabilitation Facility | 705 S Court St, Visalia, CA 93277-2727 | 2006-07-05 |
| 1386179687 | Alfonso Gutierrez Jr. | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2017-04-24 |
| 1871039081 | Kenneth Dean Sanders | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2017-01-11 |
| 1568816148 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-04-20 |
| 1639533862 | Turning Point of Central California, Inc. | Substance Abuse Rehabilitation Facility | 1845 S Court St, Visalia, CA 93277-5423 | 2016-04-13 |
| 1346620374 | Centraol Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 705 S Court St, Visalia, CA 93277-2727 | 2015-06-04 |
| Find all providers in VISALIA | ||||
Please comment or provide details below to improve the information on CENTRAL VALLEY RECOVERY SERVICES, INC..
| 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.