NPIMap

Organization Active NPI

Community Recovery Resources

  • Community/Behavioral Health Agency
  • Roseville, CA
National Provider Identifier
1477700540
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
310017AN Issued in CA
Legal business name
COMMUNITY RECOVERY RESOURCES
Doing business as
Full Circle Adolescent Services
Practice address
730 Sunrise Ave
250
Roseville, CA 95661-4567
Phone
(916) 787-4357
Fax
(916) 787-4359
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Warren Daniels
Title
Ceo
Phone
(530) 273-9541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 310017AN CA Primary

Addresses

Primary practice location

730 Sunrise Ave
250
Roseville, CA 95661-4567

Mailing address

PO Box 6028
Auburn, CA 95604-6028
Phone (530) 878-5166

Other names 1

  • Full Circle Adolescent Services Doing business as

National Provider Directory

National Provider Directory

Locations

730 Sunrise Ave
Ste 250
Roseville, CA 95661
Phone (530) 787-4357

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1477700540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6028",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956046028",
            "telephone_number": "530-878-5166",
            "fax_number": "916-797-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-787-4357",
            "fax_number": "916-787-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RECOVERY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-273-9541"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "310017AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Adolescent Services",
            "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 Apr 28, 2014; 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.