Cache Creek Lodge Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CACHE CREEK LODGE INC

Practice address

435 Aspen St
Woodland, CA 95695-2665

Phone

(530) 662-5727

NPI assigned

Sep 28, 2012

Last updated

Oct 18, 2012By 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

Ms. Peter M Marrtinez

Title

Executive Director

Phone

(530) 662-5727

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cache Creek Lodge Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cache Creek Lodge, Inc.

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
  • NPI 1548472681
  NPD tax ID
• Cache Creek Lodge, Inc.

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
  • NPI 1780941658
  NPD tax ID

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1790036812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ASPEN STREET",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952665",
            "telephone_number": "530-668-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ASPEN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952665",
            "telephone_number": "530-662-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE CREEK LODGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MARRTINEZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-662-5727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790036812",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burk Chiropractic, Inc
• Anne Burkholder
• Misty Lee Burriss, BSW
• Vickie Ann Butler, LCI04250615
• Cache Creek Lodge
• Cache Creek Lodge, Inc.
• Cache Creek Lodge, Inc.
• Loren Andrew Cadelinia, D.D.S, M.S.
• Evelyn Joyce Calayag, D.D.S.
• Jeffrey J Caldwell

• Substance Abuse Rehabilitation Facility in Woodland, CA
• Providers in Woodland, 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 Oct 18, 2012; 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.