The Gates Recovery Foundation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

090016CN Issued in CA

Legal business name

THE GATES RECOVERY FOUNDATION

Practice address

1864 Broadway
Placerville, CA 95667-6018

Phone

(530) 622-9500

Fax

(530) 622-9534

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Richard St.Andrew

Title

Credentialing Services Manager

Phone

(805) 778-0055

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Gates Recovery Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Gates Recovery Foundation

  • Substance Abuse Rehabilitation Facility
  • Placerville, CA
  • NPI 1649326182
  NPD tax ID

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1700067931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 COLOMA ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674406",
            "telephone_number": "530-622-9500",
            "fax_number": "530-622-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 BROADWAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676018",
            "telephone_number": "530-622-9500",
            "fax_number": "530-622-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GATES RECOVERY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ST.ANDREW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CREDENTIALING SERVICES MANAGER",
        "authorized_official_telephone_number": "805-778-0055"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "090016CN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "090016CN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Sein
• Amanuel Tesfamichael
• The Center for Violence-Free Relationships
• The Center for Violence-Free Relationships
• The Gates Recovery Foundation
• Jennifer Thomas, RN
• Joyce Kinslow Thomas
• Julie Anne Thomas, LMFT
• Ronald Eugene Thompson, PT
• Ralph Milton Thomure, CAS

• Substance Abuse Rehabilitation Facility in Placerville, CA
• Providers in Placerville, 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 Nov 15, 2007; 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.