NPIMap

Organization Active NPI

Victor Treatment Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Rosa, CA
National Provider Identifier
1962848580
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1881753663 Issued in CA
Legal business name
VICTOR TREATMENT CENTERS, INC.
Practice address
3164 Condo CT
Santa Rosa, CA 95403-2557
Phone
(707) 576-7218
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Lenny Ray Verser
Title
Cfo
Phone
(530) 893-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1881753663 CA Primary

Addresses

Primary practice location

3164 Condo CT
Santa Rosa, CA 95403-2557

Mailing address

3164 Condo CT
Santa Rosa, CA 95403-2557
Phone (707) 576-7218

Other identifiers 1

IdentifierTypeStateIssuer
00118OtherCAVICTOR TREATMENT CENTERS

Other names 1

  • Victor Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Victor Treatment Centers Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

3164 Condo Ct
Santa Rosa, CA 95403
Phone (707) 360-1500

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1962848580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 CONDO CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032557",
            "telephone_number": "707-576-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 CONDO CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032557",
            "telephone_number": "707-576-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "VERSER",
        "authorized_official_first_name": "LENNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-893-0758"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "1881753663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICTOR TREATMENT CENTERS",
            "identifier": "00118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.