NPIMap

Organization Active NPI

Ujima Family Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Richmond, CA
National Provider Identifier
1881002541
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UJIMA FAMILY RECOVERY SERVICES
Practice address
12960 San Pablo Ave
Richmond, CA 94805-1307
Phone
(510) 215-2280
Fax
(510) 215-2283
NPI assigned
Jul 25, 2014
Organization subpart
Yes
Parent organization
UJIMA FAMILY RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mrs. Rita Schank
Title
Executive Director
Phone
(510) 236-3139

Specialties & licenses 1

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

Addresses

Primary practice location

12960 San Pablo Ave
Richmond, CA 94805-1307

Mailing address

1901 Church LN
San Pablo, CA 94806-3707
Phone (510) 236-3139

Other names 1

  • Ujima West Outpatient Treatment Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ujima West17 organizations share this tax ID, including this one
Part of
Ujima West

Other organizations with this tax ID 16

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

View all 16

Locations

12960 San Pablo Ave
Richmond, CA 94805
Phone (510) 215-2280

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1881002541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CHURCH LN",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063707",
            "telephone_number": "510-236-3139",
            "fax_number": "510-236-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12960 SAN PABLO AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051307",
            "telephone_number": "510-215-2280",
            "fax_number": "510-215-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA FAMILY RECOVERY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UJIMA FAMILY RECOVERY SERVICES",
        "enumeration_date": "2014-07-25",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SCHANK",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-236-3139",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ujima West Outpatient Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.