NPIMap

Organization Active NPI

Ujima Family Recovery Services

Doing business as La Casa Ujima

  • Substance Abuse Rehabilitation Facility
  • Martinez, CA
National Provider Identifier
1205957057
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
070008BN Issued in CA
Legal business name
UJIMA FAMILY RECOVERY SERVICES
Doing business as
La Casa Ujima
Practice address
904 Mellus St
Martinez, CA 94553-1745
Phone
(925) 229-0230
Fax
(925) 229-0233
NPI assigned
Apr 2, 2007
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UJIMA FAMILY RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Rita B Schank, M.P.A.NPI 1982236717
Title
Executive Director
Phone
(510) 236-3139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 070008BN CA Primary

Addresses

Primary practice location

904 Mellus St
Martinez, CA 94553-1745

Mailing address

1901 Church LN
San Pablo, CA 94806-3707
Phone (510) 236-3139

Other names 1

  • La Casa Ujima Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ujima Central Mothers Program17 organizations share this tax ID, including this one
Part of
Ujima Central Mothers Program

Other organizations with this tax ID 16

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

View all 16

Locations

904 Mellus St
Martinez, CA 94553
Phone (925) 229-0230

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1205957057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CHURCH LN",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063707",
            "telephone_number": "510-236-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MELLUS ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531745",
            "telephone_number": "925-229-0230",
            "fax_number": "925-229-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA FAMILY RECOVERY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UJIMA FAMILY RECOVERY SERVICES",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SCHANK",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-236-3139",
        "authorized_official_credential": "M.P.A."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "070008BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Casa Ujima",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.