More to Life Recovery Non-Profit

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MORE TO LIFE RECOVERY NON-PROFIT

Practice address

20098 Quartz Mountain Road North
Fiddletown, CA 95629

Phone

(209) 206-1177

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey HodgsonNPI 1629278494

Title

Ceo

Phone

(209) 206-1177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Ross Hodgson, MD

  • Anesthesiology Physician
  • Fiddletown, CA
  • NPI 1629278494
  NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1558048306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "FIDDLETOWN",
            "state": "CA",
            "postal_code": "956290353",
            "telephone_number": "209-206-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 QUARTZ MOUNTAIN ROAD NORTH",
            "city": "FIDDLETOWN",
            "state": "CA",
            "postal_code": "95629",
            "telephone_number": "209-206-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE TO LIFE RECOVERY NON-PROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-206-1177"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ross Hodgson, MD
• Jeffrey R Hodgson MD Corporation (More To Life Recovery)
• Jeffrey R Hodgson MD Corporation
• More to Life Recovery
• More to Life Recovery

• Substance Use Disorder Rehabilitation Clinic/Center in Fiddletown, CA
• Providers in Fiddletown, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.