NPIMap

Organization Active NPI

Tranquility Village Recovery

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
National Provider Identifier
1174860555
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRANQUILITY VILLAGE RECOVERY
Practice address
559 Mendocino CT
Atwater, CA 95301-4230
Phone
(209) 357-5200
Fax
(209) 357-5279
NPI assigned
Jan 6, 2013
Last updated
Jan 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2013

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

Authorized official

Name
Mrs. Lori Newman
Title
Executine Director
Phone
(209) 357-5200

Specialties & licenses 1

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

Addresses

Primary practice location

559 Mendocino CT
Atwater, CA 95301-4230

Mailing address

559 Mendocino CT
Atwater, CA 95301-4230
Phone (209) 357-5200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357430400000",
    "number": "1174860555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY VILLAGE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTINE DIRECTOR",
        "authorized_official_telephone_number": "209-357-5200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.