Organization Active NPI

Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  • Community/Behavioral Health Agency
  • San Lorenzo, CA
National Provider Identifier
1548711765
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUBACUTE TREATMENT FOR ADOLESCENT REHABILITATION SERVICES, INC.
Practice address
879 Grant Ave
San Lorenzo, CA 94580-1401
Phone
(510) 317-3700
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Kent Dunlap
Title
President and Chief Executive Offic
Phone
(310) 221-6336

Specialties & licenses 1

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

Addresses

Primary practice location

879 Grant Ave
San Lorenzo, CA 94580-1401

Mailing address

400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962
Phone (510) 352-9200

Other names 2

  • Grant Elementary Doing business as
  • Stars Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stars Community Services20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

879 Grant Ave
San Lorenzo, CA 94580
Phone (510) 317-3700

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1548711765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ESTUDILLO AVE STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774962",
            "telephone_number": "510-352-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 GRANT AVE",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801401",
            "telephone_number": "510-317-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBACUTE TREATMENT FOR ADOLESCENT REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "310-221-6336"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Elementary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stars Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Lorenzo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.