NPIMap

Organization Active NPI

Champions Recovery Alternative Programs, Inc.

Doing business as Samuel's House

  • Substance Abuse Rehabilitation Facility
  • Lemoore, CA
National Provider Identifier
1255797155
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
160005CN Issued in CA
Legal business name
CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC.
Doing business as
Samuel's House
Practice address
11517 15TH Ave
Lemoore, CA 93245-9508
Phone
(559) 380-0800
NPI assigned
Jan 7, 2016
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Francisco Tomas RuizNPI 1275951931
Title
Executive Director
Phone
(559) 794-2701

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 160005CN CA Primary

Addresses

Primary practice location

11517 15TH Ave
Lemoore, CA 93245-9508

Mailing address

311 N Douty St
Hanford, CA 93230-3951
Phone (559) 583-9300

Other names 1

  • Samuel's House Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdeleon@championsrecovery.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Champions Recovery Alternative Programs Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Interoperability endpoints

  • Direct secure messaging: mdeleon@championsrecovery.org

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1255797155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303951",
            "telephone_number": "559-583-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11517 15TH AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932459508",
            "telephone_number": "559-380-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2023-07-18",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-794-2701"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "160005CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdeleon@championsrecovery.org",
            "affiliation": "N",
            "endpointDescription": "Program Manager Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11517 15th Ave",
            "city": "Lemoore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932459508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Samuel's House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samuel's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemoore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.