California Palms Addiction Recovery Campus Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS INC.

Practice address

1051 N Canfield Niles Rd
Austintown, OH 44515-1110

Phone

(800) 262-3742

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CALIFORNIA PALMS ADDICTION RECOVERY CAMPUSAs reported in NPPES

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

Authorized official

Name

Sebastian RucciNPI 1588229124

Title

Owner Ceo

Phone

(800) 262-3742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• California Palms Addiction Recovery Campus Former legal business name

Tax ID family

California Palms Addiction Recovery Campus Inc3 organizations share this tax ID, including this one

Part of

California Palms Addiction Recovery Campus Inc

Other organizations with this tax ID 2

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

• California Palms Addiction Recovery Campus Inc.

  • Primary Care Clinic/Center
  • Austintown, OH
  • NPI 1366045445
  NPD tax ID
• California Palms Addiction Recovery Campus Inc.

  • Substance Abuse Rehabilitation Facility
  • Austintown, OH
  • NPI 1467993782
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• California Palms Addiction Recovery Campus Inc.

  • Substance Abuse Rehabilitation Facility
  • Austintown, OH
  • NPI 1467993782
  NPPES parent name

Practitioners 1

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.

• Sebastian Rucci

  • Addiction (Substance Use Disorder) Counselor
  • Austintown, OH
  • NPI 1588229124
  Authorized official Same address or phone

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1306440292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 N CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 N CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151110",
            "telephone_number": "800-262-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA PALMS ADDICTION RECOVERY CAMPUS",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "RUCCI",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "800-262-3742"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Palms Addiction Recovery Campus",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Burrell
• Melonie G Busse, LPN
• Jill Marie Butler, DPT
• Brianna Nicole Byers
• Danielle Louise Byers
• California Palms Addiction Recovery Campus Inc.
• California Palms Addiction Recovery Campus Inc.
• Virginia Jane Call
• Denise Marie Camacci
• Katherine Campaneria, MS, ATC, CEAS

• Community/Behavioral Health Agency in Austintown, OH
• Providers in Austintown, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.