RECOVERY CONNECTION (NPI# 1851563159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851563159 |
| Entity Type | Organization |
| Organization Name | RECOVERY CONNECTION |
| Practice Address |
604 Broadway St Vallejo CA 94590-3323 |
| Mailing Address |
390 N Wiget Ln Ste 150 Walnut Creek CA 94598-2468 |
| Practice Telephone | 7075580104 |
| Mailing Telephone | 9257987250 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | JAIME CAMPOS (CEO) |
| Authorized Official Telephone | 9257987250 |
| Is Organization Subpart | Y |
| Parent Organization Name | BI-BETT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 480002GN | CA | Ambulatory Health Care Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDICAL | 4825 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174855795 | Recovery Connection | Counselor | 318 Elm St, Westfield, NJ 07090-3104 | 2010-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RECOVERY CONNECTION LLC | 475 E Main St, Hermiston, OR 97838 |
| Colorado Business Entities | Recovery Connections LLC | 16006 E Lehigh Cir, Aurora, CO 80013-2756 |
| Virginia Business Entities | Recovery Connections Sober Living Homes LLC | 5185 Boonsboro Rd, Lynchburg, Virginia 24503-2117 |
| Street Address |
604 BROADWAY ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710166913 | Vernon Cummings | Counselor | 604 Broadway St, Vallejo, CA 94590-3323 | 2007-10-24 |
| 1952826281 | Melinda Joanne Tonjes | Counselor | 604 Broadway St, Vallejo, CA 94590 | 2017-08-08 |
| 1649692971 | Bi-bett | Community/Behavioral Health | 604 Broadway St, Vallejo, CA 94590-3323 | 2014-01-06 |
| 1659518033 | Bi-bett Corporation | Community/Behavioral Health | 604 Broadway St, Vallejo, CA 94590-3323 | 2009-01-07 |
| 1740469949 | Winfred Carter | Counselor | 604 Broadway St, Vallejo, CA 94590-3323 | 2007-10-24 |
| 1326227521 | Angelika Shanley | Counselor | 604 Broadway St, Vallejo, CA 94590-3323 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| 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 |
|---|---|---|---|---|
| 1023486586 | Anthonys Stithz | Substance Abuse Rehabilitation Facility | 2000 Ascot Pkwy, Vallejo, CA 94591-7009 | 2015-09-14 |
| 1417324872 | Rose Mendiola | Substance Abuse Rehabilitation Facility | 130 Stanford Dr, Vallejo, CA 94589-1746 | 2015-09-01 |
| 1043625346 | Locklind and Associates, LLC | Substance Abuse Rehabilitation Facility | 4749 Georgia St, Vallejo, CA 94591-6854 | 2014-06-25 |
| 1326352188 | House of Acts | Substance Abuse Rehabilitation Facility | 627 Grant St, Vallejo, CA 94590-7228 | 2010-08-03 |
| 1114127388 | Bi-bett | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2007-07-24 |
| 1831265495 | Genesis House, Inc | Substance Abuse Rehabilitation Facility | 1149 Warren Ave, Vallejo, CA 94591-7512 | 2006-11-27 |
| 1275011637 | Sean Traynor | Substance Abuse Rehabilitation Facility | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-29 |
| 1679019152 | Edna Marie White | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2017-01-09 |
| 1629510557 | Jblockshin & Associates LLC | Substance Abuse Rehabilitation Facility | 4749 Georgia St, Vallejo, CA 94591-6854 | 2016-11-09 |
| 1922420298 | Shamia Recovery Center | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2014-01-06 |
| Find all providers in VALLEJO | ||||
Please comment or provide details below to improve the information on RECOVERY CONNECTION.
| 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.