Active NPI
Women'S Recovery Services
- Substance Abuse Rehabilitation Facility
- Santa Rosa, CA
National Provider Identifier
1184096679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 490004
- Legal business name
- WOMEN'S RECOVERY SERVICES
- Practice address
- 98 Hendley St
Santa Rosa, CA 95404-5025 - Phone
- (707) 527-0412
- Fax
- (707) 527-6048
- NPI assigned
- Oct 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cheryle Jean Stanley
- Title
- Executive Director
- Phone
- (707) 527-0412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 490004 | CA | Primary |
Addresses
Primary practice location
98 Hendley St
Santa Rosa, CA 95404-5025
Mailing address
98 Hendley St
Santa Rosa, CA 95404-5025
Phone (707) 527-0412
Other names 1
- Unique Place
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445558400000",
"number": "1184096679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 HENDLEY ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045025",
"telephone_number": "707-527-0412",
"fax_number": "707-527-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 HENDLEY ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045025",
"telephone_number": "707-527-0412",
"fax_number": "707-527-6048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "CHERYLE",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "707-527-0412",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "490004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Unique Place",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.