NPIMap

Organization Active NPI

R House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1205030103
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
4931 Issued in CA
Legal business name
R HOUSE, INC.
Practice address
1207 Cleveland Ave
Santa Rosa, CA 95401-4729
Phone
(707) 568-4492
Fax
(707) 526-9672
NPI assigned
Jun 13, 2007
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Mimi G. Donohue
Title
Executive Director
Phone
(707) 571-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 4931 CA Primary

Addresses

Primary practice location

1207 Cleveland Ave
Santa Rosa, CA 95401-4729

Mailing address

PO Box 2587
Santa Rosa, CA 95405-0587
Phone (707) 571-2215

National Provider Directory

National Provider Directory
Tax ID family
R House Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

  • R House Inc
    • Children's Substance Abuse Rehabilitation Facility
    • Santa Rosa, CA
    • NPI 1639526288
    NPD tax ID
  • R House, Inc.
    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Santa Rosa, CA
    • NPI 1346459781
    NPD tax ID
  • R House, Inc.
    • Children's Substance Abuse Rehabilitation Facility
    • Santa Rosa, CA
    • NPI 1477889210
    NPD tax ID
  • R House, Inc.
    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Santa Rosa, CA
    • NPI 1528277969
    NPD tax ID
  • R House, Inc.
    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Santa Rosa, CA
    • NPI 1760516702
    NPD tax ID

Locations

1207 Cleveland Ave
Santa Rosa, CA 95401
Phone (707) 568-4492

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1205030103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954050587",
            "telephone_number": "707-571-2215",
            "fax_number": "707-526-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CLEVELAND AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014729",
            "telephone_number": "707-568-4492",
            "fax_number": "707-526-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "MIMI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-571-2215"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "4931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2011; 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.