Frederic Ozanam Center-Rainbow Village

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

070001LN Issued in CA

Legal business name

FREDERIC OZANAM CENTER-RAINBOW VILLAGE

Practice address

2901 Prospect Ave
Concord, CA 94518-1024

Phone

(925) 676-4840

NPI assigned

Feb 11, 2017

Organization subpart

Yes

Parent organization

BI-BETTAs reported in NPPES

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

Authorized official

Name

Susan Jeanne Cinelli

Title

Executive Director

Phone

(925) 798-7250

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Frederic Ozanam Center -Emerald City31 organizations share this tax ID, including this one

Part of

Frederic Ozanam Center -Emerald City

Other organizations with this tax ID 30

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

• Bi Bett

  dba East Oakland Recovery Center

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1740486109
  NPD tax ID
• Bi Bett

  dba East Oakland Recovery

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1922204387
  NPD tax ID
• Bi Bett Corporation

  dba Diablo Valley Ranch

  • Substance Abuse Rehabilitation Facility
  • Clayton, CA
  • NPI 1588869853
  NPD tax ID
• Bi-Bett

  dba East County Women's Recovery Center / East County Wollam

  • Substance Abuse Rehabilitation Facility
  • Pittsburg, CA
  • NPI 1023213386
  NPD tax ID
• Bi-Bett

  • Children's Substance Abuse Rehabilitation Facility
  • Pittsburg, CA
  • NPI 1053850602
  NPD tax ID
• Bi-Bett

  dba Frederick Ozanam Center

  • Substance Abuse Rehabilitation Facility
  • Concord, CA
  • NPI 1083152912
  NPD tax ID
• Bi-Bett

  dba SoberLiving7

  • Case Management Agency
  • Concord, CA
  • NPI 1093907388
  NPD tax ID
• Bi-Bett

  dba Shamia Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Vallejo, CA
  • NPI 1114127388
  NPD tax ID
• Bi-Bett

  dba GAADDS/ACFF East

  • Clinic/Center
  • Pittsburg, CA
  • NPI 1144566449
  NPD tax ID
• Bi-Bett

  dba Frederic Ozanam Center

  • Substance Abuse Rehabilitation Facility
  • Concord, CA
  • NPI 1154526333
  NPD tax ID
• Bi-Bett

  • Children's Substance Abuse Rehabilitation Facility
  • Pittsburg, CA
  • NPI 1225577877
  NPD tax ID
• Bi-Bett

  • Community/Behavioral Health Agency
  • Clayton, CA
  • NPI 1235334673
  NPD tax ID

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1538607460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5487",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945240487",
            "telephone_number": "925-798-7250",
            "fax_number": "925-798-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PROSPECT AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181024",
            "telephone_number": "925-676-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC OZANAM CENTER-RAINBOW VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BI-BETT",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "CINELLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-798-7250"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "070001LN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS LICENSE",
            "identifier": "070001LN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Finch Youth Center
• Fred Finch Youth Center
• Fred Finch Youth Center
• Fred J Von Stieff MD a Professional Corporation (Von Stieff Medical Group)
• Frederic Ozanam Center -Emerald City
• Kendra Danae Fredericks-Burks
• Shannon Frederickson
• Joshlyn Q Fredrick, CPT1, BSHA/LPC
• Milan Fredrick
• Elizabeth Brooke Freeman

• Substance Abuse Rehabilitation Facility in Concord, CA
• Providers in Concord, 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 Feb 11, 2017; 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.