SACRAMENTO RECOVERY HOUSE, INC.
NPI 1215920921
Substance Abuse Rehabilitation Facility in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since August 26, 2005CLIA 05D2320855 · Waiver

1914 22ND ST, SACRAMENTO, CA 95816(916) 455-6258 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sacramento Recovery House, Inc. NPPES

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

SACRAMENTO RECOVERY HOUSE, INC. (NPI 1215920921) is a healthcare organization registered as a substance abuse rehabilitation facility in Sacramento, California and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Susan B Blacksher, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215920921

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSACRAMENTO RECOVERY HOUSE, INC.

Location Address1914 22ND STSacramento, CA 95816-7109

Mailing Address2921 Fulton AveSacramento, CA 95821-4909 · (916) 338-9460 · Fax (916) 338-9468

Phone(916) 455-6258

Organization SubpartNo

Authorized OfficialSusan B BlacksherExecutive Director · (916) 338-9460

Enumeration DateAugust 26, 2005

Last NPPES UpdateAugust 13, 2007

✔ NPI 1215920921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 340009AN

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.

1914 22ND ST, Sacramento, CA 95816

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CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D2320855
Facility Type: Other - RESIDENTIAL TREATMENT PRG
Certificate Effective Date: March 25, 2025
Certificate Expiration Date: March 24, 2027
Laboratory Director: YEOSHINA PILLAY
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Sacramento Recovery House, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.