NPIMap

Organization Active NPI

CS II,LLC Dba Clean and Sober Detox

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
National Provider Identifier
1205344876
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CS II,LLC DBA CLEAN AND SOBER DETOX
Practice address
8946 Madison Ave
Sacramento, CA 95628-4010
Phone
(732) 210-0509
Fax
(732) 542-1948
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Gilbert Yates
Title
Contract Manager
Phone
(877) 262-7803

Specialties & licenses 1

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

Addresses

Primary practice location

8946 Madison Ave
Sacramento, CA 95628-4010

Mailing address

P O Box 412343
Boston, MA 02241-0001
Phone (732) 210-0509

National Provider Directory

National Provider Directory
Tax ID family
CS Iillc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1205344876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 412343",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022410001",
            "telephone_number": "732-210-0509",
            "fax_number": "732-542-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8946 MADISON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "956284010",
            "telephone_number": "732-210-0509",
            "fax_number": "732-542-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS II,LLC DBA CLEAN AND SOBER DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "877-262-7803"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.