Yellow Wood Recovery Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

YELLOW WOOD RECOVERY INC

Practice address

2969 Prospect Park Dr Ste 225
Rancho Cordova, CA 95670-6188

Phone

(916) 238-6070

Fax

(916) 238-6070

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Eileen Javed

Title

Ceo

Phone

(916) 238-6070

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Yellow Wood Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Yellow Wood Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • Rancho Cordova, CA
  • NPI 1790317451
  NPD tax ID

Locations

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1417637935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 PROSPECT PARK DR STE 225",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706188",
            "telephone_number": "916-820-4747",
            "fax_number": "916-238-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 PROSPECT PARK DR STE 225",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706188",
            "telephone_number": "916-238-6070",
            "fax_number": "916-238-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW WOOD RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-238-6070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia E. Wyatt, R.EEG EPT, CNIM
• Pazoua Xiong
• CHI Nou Yang
• Joe Yang, MSW
• Rebecca Yeghiazaryan
• Yellow Wood Recovery Inc
• Jackie Lai Yip, PA-C
• Ivette Marie Yoder, PHARM.D.
• Beverly Susan Young, CAS
• Your Choice Home Health Care, Inc.

• Substance Abuse Rehabilitation Facility in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.