Eagle Recovery Programs

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

310004DN Issued in CA

Legal business name

EAGLE RECOVERY PROGRAMS

Practice address

12183 Locksley LN Ste 101
Auburn, CA 95602-2050

Phone

(530) 823-0777

Fax

(530) 823-0775

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ricky Curtis Wells

Title

Director

Phone

(530) 823-0777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255544953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-823-0777",
            "fax_number": "530-823-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-823-0777",
            "fax_number": "530-823-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RECOVERY PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-823-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "310004DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnie Dunn
• Alexa Rene Duval
• Shannon Duvon
• Dva Renal Healthcare Inc
• Scott Altair Dzurella, N.P.
• Daren Eaken, AMFT
• Candice Nicole Eakin, LCSW
• Regina Marie Edens
• Sara Christine Edmondson
• Christine E Edwards, PTA

• Substance Abuse Rehabilitation Facility in Auburn, CA
• Providers in Auburn, 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 Aug 22, 2020; 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.