Organization Active NPI

Women'S Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Santa Rosa, CA
National Provider Identifier
1184096679
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
490004 Issued in CA
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

Updated by the provider on Oct 23, 2015

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.