CLEAN & SOBER RECOVERY SERVICES INC. (NPI# 1922541317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922541317 |
| Entity Type | Organization |
| Organization Name | CLEAN & SOBER RECOVERY SERVICES INC. |
| Other Organization Name | CLEAN & SOBER RECOVERY HOME |
| Practice Address |
9198 Greenback Ln Suite 101 Orangevale CA 95662-5900 |
| Practice Telephone | 9169900190 |
| Practice Fax Number | 9169900193 |
| Mailing Telephone | 9169900190 |
| Mailing Fax Number | 9169900193 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | MR. JOHN PERRY (PRESIDENT) |
| Authorized Official Telephone | 9169900190 |
| Authorized Official Credential | CADC-CAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clean & Sober Recovery Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528227840 | Clean & Sober Recovery Services Inc. | Substance Abuse Rehabilitation Facility | 5820 Chestnut Ave, Orangevale, CA 95662-4807 | 2008-06-02 |
| Street Address |
9198 GREENBACK LN SUITE 101 |
| City | ORANGEVALE |
| State | CA |
| Zip Code | 95662-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548280761 | Lloyd R Price | Dentist | 9198 Greenback Ln, 210, Orangevale, CA 95662-5900 | 2006-07-20 |
| 1245454297 | Cheryl Ann Lee | Massage Therapist | 9198 Greenback Ln, #208, Orangevale, CA 95662 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027338 | Susan Kaefer | Physical Therapist | 9525 Tremont Court, Orangevale, CA 95662 | 2018-03-22 |
| 1568918209 | William Parker Henderson | Specialist/Technologist | 9201 Madison Ave #235, Orangevale, CA 95662 | 2016-09-01 |
| 1558665745 | Gary C White Optometric Corporation | Optometrist | 8836 Greenback Lane Ste F, Orangevale, CA 95662 | 2011-01-02 |
| 1679634877 | Troy M Mauvais | Chiropractor | 8836 Greenback Ln, Ste B, Orangevale, CA 95662 | 2006-12-12 |
| 1821169830 | Peter W Worth | Dentist | 9197 Greenback Lane, Suite A, Orangevale, CA 95662 | 2006-11-13 |
| 1497763866 | Peter D Lopresti | Chiropractor | 9198 Greenback Lane, Suite 112, Orangevale, CA 95662 | 2006-08-03 |
| 1144735614 | Ondrea Lynn Cumbra | Behavior Technician | 8783 Steven Ave, Orangevale, CA 95662-2110 | 2017-12-06 |
| 1760963540 | Rajena Atwal | Pharmacist | 10040 Hadleigh Dr, Orangevale, CA 95662-2234 | 2018-08-28 |
| 1134580228 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7441 Hickory Ave, Orangevale, CA 95662-2305 | 2016-03-16 |
| 1538648845 | Paradise Oaks Youth Services | Community Based Residential Treatment Facility, Mental Illness | 7447 Hazel Ave, Orangevale, CA 95662-2403 | 2018-08-08 |
| Find all providers in zip 95662 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843679 | Cdt Service Corporation | Clinic/Center | 6039 Roloff Way, Orangevale, CA 95662-4544 | 2019-07-21 |
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| Find all providers with the same taxonomy | ||||
| City | ORANGEVALE |
| Zip Code | 95662 |
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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.