Way Home Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WAY HOME DETOX LLC

Practice address

608 Hudis St
Rohnert Park, CA 94928-1343

Phone

(707) 237-8472

NPI assigned

May 11, 2026

Organization subpart

No

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

Authorized official

Name

Jack Blair Anderson

Title

Ceo

Phone

(415) 233-3158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1245168459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HUDIS ST",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281343",
            "telephone_number": "707-237-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HUDIS ST",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281343",
            "telephone_number": "707-237-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY HOME DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-233-3158"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yilin Wang
• Matthew Warford
• Jonathan Warta, PHARM.D.
• Raymond Washington Jr.
• Aria Watson
• Georgena Sue Webb
• Peggy J Weber, MS
• Brian Wedderburn, LCSW
• Jamie Suzanne Weinstein, MD
• Lawrence John Weissenburger Jr., PHARM.D.

• Substance Abuse Rehabilitation Facility in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.