NPIMap

Organization Active NPI

Magnolia Women'S Recovery Program Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Oakland, CA
National Provider Identifier
1942670237
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
010081CN Issued in CA
Legal business name
MAGNOLIA WOMEN'S RECOVERY PROGRAM INC.
Practice address
3408 Andover St
Oakland, CA 94609-2817
Phone
(510) 547-1531
Fax
(510) 547-1543
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Maria C Arroyo
Title
Client Services Coordinator
Phone
(510) 547-1531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 010081CN CA Primary

Addresses

Primary practice location

3408 Andover St
Oakland, CA 94609-2817

Mailing address

3408 Andover St
Oakland, CA 94609-2817
Phone (510) 547-1531

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Women'S Recovery Programs 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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1942670237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 ANDOVER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092817",
            "telephone_number": "510-547-1531",
            "fax_number": "510-547-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 ANDOVER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092817",
            "telephone_number": "510-547-1531",
            "fax_number": "510-547-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WOMEN'S RECOVERY PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "ARROYO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLIENT SERVICES COORDINATOR",
        "authorized_official_telephone_number": "510-547-1531"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "010081CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.