Organization Active NPI

The Lakes Arlington

  • Substance Abuse Rehabilitation Facility
  • Hollister, CA
National Provider Identifier
1629587308
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
350003AP Issued in CA
Legal business name
THE LAKES ARLINGTON
Practice address
2720 Arlington Dr
Hollister, CA 95023-4300
Phone
(209) 325-8506
NPI assigned
Sep 25, 2017
Organization subpart
Yes
Parent organization
THE LAKES TREATMENT CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Nicholas McNulty
Title
Compliance Director
Phone
(209) 768-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 350003AP CA Primary

Addresses

Primary practice location

2720 Arlington Dr
Hollister, CA 95023-4300

Mailing address

7260 Obyrnes Ferry Rd
Copperopolis, CA 95228-9761
Phone (209) 325-8506

National Provider Directory

National Provider Directory
Tax ID family
The Lakes Arlington3 organizations share this tax ID, including this one
Part of
The Lakes Arlington

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1629587308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 OBYRNES FERRY RD",
            "city": "COPPEROPOLIS",
            "state": "CA",
            "postal_code": "952289761",
            "telephone_number": "209-325-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 ARLINGTON DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234300",
            "telephone_number": "209-325-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES ARLINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LAKES TREATMENT CENTER INC",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "209-768-5871"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "350003AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.