NPIMap

Organization Active NPI

Ujima Family Recovery Services

  • Substance Abuse Rehabilitation Facility
  • San Pablo, CA
National Provider Identifier
1902929409
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
070008HN Issued in CA
Legal business name
UJIMA FAMILY RECOVERY SERVICES
Practice address
1916 Church LN
San Pablo, CA 94806-3708
Phone
(510) 236-3134
Fax
(510) 236-3151
NPI assigned
Apr 9, 2007
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
Rita B Schank, M.P.A
Title
Executive Director
Phone
(510) 236-3139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 070008HN CA Primary

Addresses

Primary practice location

1916 Church LN
San Pablo, CA 94806-3708

Mailing address

1901 Church LN
San Pablo, CA 94806-3707
Phone (510) 236-3134

Other names 1

  • Rectory 1916 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

1916 Church Ln
San Pablo, CA 94806
Phone (510) 236-3134

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1902929409",
    "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": "510-236-3134",
            "fax_number": "510-236-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 CHURCH LN",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063708",
            "telephone_number": "510-236-3134",
            "fax_number": "510-236-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA FAMILY RECOVERY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UJIMA FAMILY RECOVERY SERVICES",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SCHANK",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-236-3139",
        "authorized_official_credential": "M.P.A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "070008HN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rectory 1916",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, 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.