Active NPI
Beloved Recovery
- Community/Behavioral Health Agency
- Roseville, CA
National Provider Identifier
1326420993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- A012520315
- Legal business name
- BELOVED RECOVERY
- Practice address
- 919 Reserve Dr
Suite 125
Roseville, CA 95678-1346 - Phone
- (530) 270-9294
- NPI assigned
- Jun 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Lisa Patton
- Title
- Owner
- Phone
- (530) 270-9294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | A012520315 | CA | Primary |
Addresses
Primary practice location
919 Reserve Dr
Suite 125
Roseville, CA 95678-1346
Mailing address
919 Reserve Dr
Suite 125
Roseville, CA 95678-1346
Phone (530) 270-9294
Other names 1
- Mary Lisa Patton
National Provider Directory
National Provider DirectoryLocations
919 Reserve Dr
Ste 125
Roseville, CA 95678
Phone (530) 270-9294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434672000000",
"number": "1326420993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 RESERVE DR",
"address_2": "SUITE 125",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781346",
"telephone_number": "530-270-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 RESERVE DR",
"address_2": "SUITE 125",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781346",
"telephone_number": "530-270-9294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELOVED RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-270-9294",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "A012520315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mary Lisa Patton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.