Organization Active NPI

West Slope Recovery

  • Substance Abuse Rehabilitation Facility
  • Placerville, CA
National Provider Identifier
1700270501
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
090021AN Issued in CA
Legal business name
WEST SLOPE RECOVERY
Practice address
2986 Coloma St
Placerville, CA 95667-4427
Phone
(530) 621-1925
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mr. Tim Page
Title
Director
Phone
(530) 621-1925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 090021AN CA Primary

Addresses

Primary practice location

2986 Coloma St
Placerville, CA 95667-4427

Mailing address

PO Box 489
Placerville, CA 95667-0489
Phone (530) 621-1925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1700270501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956670489",
            "telephone_number": "530-621-1925",
            "fax_number": "800-398-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 COLOMA ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674427",
            "telephone_number": "530-621-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SLOPE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-621-1925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "090021AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.