NPIMap

Organization Active NPI

Granite Wellness Centers

  • Substance Abuse Rehabilitation Facility
  • Nevada City, CA
National Provider Identifier
1235644071
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
290002IN Issued in CA
Legal business name
GRANITE WELLNESS CENTERS
Practice address
145 Bost Ave
Nevada City, CA 95959-3249
Phone
(530) 878-5166
NPI assigned
Dec 1, 2017
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Elaine Ebbert
Title
Operations Director
Phone
(530) 878-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 290002IN CA Primary

Addresses

Primary practice location

145 Bost Ave
Nevada City, CA 95959-3249

Mailing address

PO Box 6028
Auburn, CA 95604-6028
Phone (530) 878-5166

Other names 2

  • Community Recovery Resources Former legal business name
  • Lovett Recovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Recovery Resources8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20533/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1235644071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6028",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956046028",
            "telephone_number": "530-878-5166",
            "fax_number": "916-797-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BOST AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593249",
            "telephone_number": "530-878-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "EBBERT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "530-878-5166"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "290002IN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Recovery Resources",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lovett Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.