NPIMap

Organization Active NPI

Rose Julia Riordan Tranquility Village

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
National Provider Identifier
1578881595
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
240001EN Issued in CA
Legal business name
ROSE JULIA RIORDAN TRANQUILITY VILLAGE
Practice address
559 Mendocino CT
Atwater, CA 95301-4230
Phone
(209) 357-5200
Fax
(209) 357-5279
NPI assigned
May 14, 2010
Last updated
Mar 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY SOCIAL MODEL ADVOCATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Mrs. Lori NewmanNPI 1467886820
Title
Executive Director
Phone
(209) 357-5261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 240001EN CA Primary

Addresses

Primary practice location

559 Mendocino CT
Atwater, CA 95301-4230

Mailing address

559 Mendocino CT
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 1

519 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 2

527 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 3

509 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 4

579 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 5

537 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 6

589 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

Other practice location 7

569 Mendocino Ct
Atwater, CA 95301-4230
Phone (209) 357-5200

National Provider Directory

National Provider Directory
Tax ID family
David J Riordan's Hobie House3 organizations share this tax ID, including this one
Part of
David J Riordan's Hobie House

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1578881595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "579 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "537 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "589 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "569 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSE JULIA RIORDAN TRANQUILITY VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY SOCIAL MODEL ADVOCATES, INC.",
        "enumeration_date": "2010-05-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-357-5261",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "240001EN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.