Organization Active NPI

Beloved Recovery

  • Community/Behavioral Health Agency
  • Roseville, CA
National Provider Identifier
1326420993
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A012520315 Issued in CA
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

Updated by the provider on Jun 19, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.