NPIMap

Organization Active NPI

J Cole Recovery Homes, Inc

  • Substance Abuse Rehabilitation Facility
  • Antioch, CA
National Provider Identifier
1376766238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
070034AP Issued in CA
Legal business name
J COLE RECOVERY HOMES, INC
Practice address
1408 A St
Antioch, CA 94509-2331
Phone
(925) 978-2873
Fax
(925) 757-0411
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debra Barcellos, C.A.S.NPI 1730355884
Title
Program Director
Phone
(925) 978-2873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 070034AP CA Primary

Addresses

Primary practice location

1408 A St
Antioch, CA 94509-2331

Mailing address

1408 A St
Antioch, CA 94509-2331
Phone (925) 978-2873

Other names 1

  • Cole House Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376766238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092331",
            "telephone_number": "925-978-2873",
            "fax_number": "925-757-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092331",
            "telephone_number": "925-978-2873",
            "fax_number": "925-757-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J COLE RECOVERY HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARCELLOS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "925-978-2873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.A.S."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "070034AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cole House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.