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BUCKELEW ORENDA CENTER
NPI 1184304776
Substance Abuse Rehabilitation Facility in Santa Rosa, CA

Active since July 19, 2023
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405(707) 565-7450 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Jul 19, 2023 (2 updates tracked since 2023).

About Buckelew Orenda Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKELEW ORENDA CENTER (NPI 1184304776) is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Rosa, California and active in the NPI registry since July 2023. The organization lists John Christopher Kughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184304776
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBUCKELEW PROGRAMS
Location Address1430 NEOTOMAS AVESanta Rosa, CA 95405-7575
Mailing Address201 Alameda Del Prado Ste 103Novato, CA 94949-6698 · (415) 457-6964
Phone(707) 565-7450
Organization SubpartYes
Authorized OfficialJohn Christopher KughnCeo · (415) 457-6966
Enumeration DateJuly 19, 2023
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1184304776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1430 NEOTOMAS AVE, Santa Rosa, CA 95405
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Other Names 2

Doing Business AsBuckelew Orenda Center
Doing Business AsAthena House

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA R NELSON
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-6971
BARBARA KNIGHT
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7450
SHERRI LYNN MCNEIL
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7460
MRS. BEATRIZ RAMONA TLAHUITZO-DELAO RADT-1, MHFA
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7450
GAYLE LYNN CLAY
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7460
SHELBY MCCLINTOCK
Case Manager/Care Coordinator
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7460
KERRY SHEEHAN
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7485
BONNIE WRIGHT
Counselor (Addiction (Substance Use Disorder))
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405
Sonoma County (707) 565-7450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckelew Programs's NPI number?

The NPI number for Buckelew Programs is 1184304776. It was assigned to this organization in the NPPES registry on July 19, 2023. The provider is doing business as Buckelew Orenda Center and Athena House.

Where is Buckelew Programs located?

Buckelew Programs is located at 1430 Neotomas Ave, Santa Rosa, CA 95405. The listed phone number is (707) 565-7450.

What is Buckelew Programs's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Buckelew Programs was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.