Yellow Wood Recovery Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

YELLOW WOOD RECOVERY INC

Practice address

12646 Thornberg Way
Rancho Cordova, CA 95742-7839

Phone

(916) 238-6070

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By 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

Mrs. Eileen Frances Javed, RN, BSN, MSHA

Title

Executive Program Administrator

Phone

(651) 319-6696

Specialties & licenses 1

Addresses

Tax ID family

Yellow Wood Recovery Inc2 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.

• Yellow Wood Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • Rancho Cordova, CA
  • NPI 1417637935
  NPD tax ID

Practitioners 1

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.

• Penny Lee Larson, M.D.

  • Obstetrics & Gynecology Physician
  • Rancho Cordova, CA
  • NPI 1528057213
  NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1790317451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12646 THORNBERG WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427839",
            "telephone_number": "916-238-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12646 THORNBERG WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427839",
            "telephone_number": "916-238-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW WOOD RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "651-319-6696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MSHA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pazoua Xiong
• CHI Nou Yang
• Joe Yang, MSW
• Rebecca Yeghiazaryan
• Yellow Wood Recovery Inc
• Jackie Lai Yip, PA-C
• Ivette Marie Yoder, PHARM.D.
• Beverly Susan Young, CAS
• Your Choice Home Health Care, Inc.
• Edward Yuan, PHARM.D.

• Substance Abuse Rehabilitation Facility in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 Feb 10, 2020; 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.