NPIMap

Organization Active NPI

Empire Hotel Alcoholic Rehabilitation Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Redding, CA
National Provider Identifier
1104171289
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
450001CN Issued in CA
Legal business name
EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTER, INC.
Practice address
1616 West St
Redding, CA 96001-1726
Phone
(530) 243-7470
Fax
(530) 243-7477
NPI assigned
Jul 16, 2012
Organization subpart
Yes
Parent organization
EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marjeanne Louise Stone, BA, CADCII, ICADC, M
Title
Executive Director
Phone
(530) 243-7470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 450001CN CA Primary

Addresses

Primary practice location

1616 West St
Redding, CA 96001-1726

Mailing address

1237 California St.
Redding, CA 96001
Phone (530) 243-7470

Other names 1

  • Empire Outpatient Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Empire Hotel Alcoholic Rehabilitation Center Inc4 organizations share this tax ID, including this one
Part of
Empire Hotel Alcoholic Rehabilitation Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1616 West St
Redding, CA 96001
Phone (530) 243-7470

1237 California St
Redding, CA 96001
Phone (530) 243-7470

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104171289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 CALIFORNIA ST.",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-243-7470",
            "fax_number": "530-243-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WEST ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011726",
            "telephone_number": "530-243-7470",
            "fax_number": "530-243-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPIRE HOTEL ALCOHOLIC REHABILITATION CENT",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MARJEANNE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-243-7470",
        "authorized_official_credential": "BA, CADCII, ICADC, M"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "450001CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.