NPIMap

Organization Active NPI

Bryan'S House Recovery Home

  • Substance Abuse Rehabilitation Facility
  • Atascadero, CA
National Provider Identifier
1275001067
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRYAN'S HOUSE RECOVERY HOME
Practice address
5655 Ardilla Ave
Atascadero, CA 93422-3222
Phone
(805) 460-6621
Fax
(866) 306-5825
NPI assigned
Nov 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Sandra Lea Wortley, LAADC
Title
Director
Phone
(805) 464-4660

Specialties & licenses 1

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

Addresses

Primary practice location

5655 Ardilla Ave
Atascadero, CA 93422-3222

Mailing address

7760 Whispering Trails PL
Paso Robles, CA 93446-6396
Phone (805) 674-3131

Other identifiers 1

IdentifierTypeStateIssuer
1093914152MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1275001067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 WHISPERING TRAILS PL",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934466396",
            "telephone_number": "805-674-3131",
            "fax_number": "866-306-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 ARDILLA AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223222",
            "telephone_number": "805-460-6621",
            "fax_number": "866-306-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN'S HOUSE RECOVERY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "WORTLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-464-4660",
        "authorized_official_credential": "LAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093914152",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.