NPIMap

Organization Active NPI

Magnolia Women's Recovery Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Oakland, CA
National Provider Identifier
1154752772
Registry record updated Dec 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MAGNOLIA WOMEN'S RECOVERY PROGRAMS, INC.
Practice address
3408 Andover St
Oakland, CA 94609-2817
Phone
(510) 547-1531
Fax
(510) 547-1543
NPI assigned
Dec 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2013

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

Authorized official

Name
Dr. Linda Stewart, EDD
Title
Executive Director
Phone
(510) 535-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3408 Andover St
Oakland, CA 94609-2817

Mailing address

17 Embarcadero CV
Oakland, CA 94606-5203
Phone (510) 535-1344

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Women's Recovery Programs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1386374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386374400000",
    "number": "1154752772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EMBARCADERO CV",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065203",
            "telephone_number": "510-535-1344",
            "fax_number": "510-535-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 ANDOVER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092817",
            "telephone_number": "510-547-1531",
            "fax_number": "510-547-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WOMEN'S RECOVERY PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-07",
        "last_updated": "2013-12-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-535-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; 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.