UJIMA FAMILY RECOVERY SERVICES (NPI# 1902929409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902929409 |
| Entity Type | Organization |
| Organization Name | UJIMA FAMILY RECOVERY SERVICES |
| Other Organization Name | RECTORY 1916 |
| Practice Address |
1916 Church Ln San Pablo CA 94806-3708 |
| Mailing Address |
1901 Church Ln San Pablo CA 94806-3707 |
| Practice Telephone | 5102363134 |
| Practice Fax Number | 5102363151 |
| Mailing Telephone | 5102363134 |
| Mailing Fax Number | 5102363151 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | RITA B SCHANK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5102363139 |
| Authorized Official Credential | M.P.A |
| Is Organization Subpart | Y |
| Parent Organization Name | UJIMA FAMILY RECOVERY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 070008HN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Rectory 1916 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891127247 | Ujima Family Recovery Services | Counselor | 369 E Leland Rd, Pittsburg, CA 94565-4911 | 2013-08-07 |
| 1043429319 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1515 24th St, San Pablo, CA 94806-4505 | 2007-05-22 |
| 1033326095 | Ujima Family Recovery Services | Clinic/Center | 251 Georgia Street, Vallejo, CA 94590 | 2007-05-17 |
| 1457474959 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 919 Mellus St, Martinez, CA 94553-1744 | 2007-04-09 |
| 1245352962 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1901 Church Ln, San Pablo, CA 94806-3707 | 2007-04-04 |
| 1205957057 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 904 Mellus St, Martinez, CA 94553-1745 | 2007-04-02 |
| 1366563900 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 127 Grenadine Way, Hercules, CA 94547-2041 | 2007-04-02 |
| 1881002541 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 12960 San Pablo Ave, Richmond, CA 94805-1307 | 2014-07-25 |
| 1346516739 | Ujima Family Recovery Services | Counselor | 2975 Treat Blvd, Suite B-5, Concord, CA 94518-3601 | 2012-03-29 |
| 1881960284 | Ujima Family Recovery Services | Case Management | 400 Ellinwood Way, Pleasant Hill, CA 94523-7785 | 2012-03-29 |
| Street Address |
1916 CHURCH LN |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| 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 |
|---|---|---|---|---|
| 1306082151 | Bay Area Community Resources | Substance Abuse Rehabilitation Facility | 13201 San Pablo Ave Ste 205, San Pablo, CA 94806-3957 | 2008-12-29 |
| 1043429319 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1515 24th St, San Pablo, CA 94806-4505 | 2007-05-22 |
| 1245352962 | Ujima Family Recovery Services | Substance Abuse Rehabilitation Facility | 1901 Church Ln, San Pablo, CA 94806-3707 | 2007-04-04 |
| 1386202166 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 1515 Market Ave, San Pablo, CA 94806-4357 | 2019-06-05 |
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| 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.