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

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: August 16, 2026.

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 Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2320855

Sacramento Recovery House · Sacramento, CA
Active · expires Mar 24, 2027
CLIA Number05D2320855
Laboratory TypeResidential Treatment Prg
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorYeoshina Pillay
Laboratory Phone(916) 759-0902
Laboratory LocationSacramento Recovery House1914 22nd Street, Sacramento, CA 95816
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

TRAVIS GEORGE NICHOLS
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
ALEXANDER DUDENSING TORRECAMPO
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
MR. MICHAEL CHRISTIAN THARPE
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
JOEL R WESTERN
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
MS. MARLENA EVETTE BURRELL
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
DUSTIN SHANE MILLER
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
STEVEN MILES CAS
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258
MARK MYERS CAS
Counselor (Addiction (Substance Use Disorder))
1914 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 455-6258

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 Sacramento Recovery House, Inc.'s NPI number?

The NPI number for Sacramento Recovery House, Inc. is 1215920921. It was assigned to this organization in the NPPES registry on August 26, 2005.

Where is Sacramento Recovery House, Inc. located?

Sacramento Recovery House, Inc. is located at 1914 22nd St, Sacramento, CA 95816. The listed phone number is (916) 455-6258.

What is Sacramento Recovery House, Inc.'s specialty?

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

Does Sacramento Recovery House, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2320855) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacramento Recovery House, Inc. was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.