SACRAMENTO RECOVERY HOUSE, INC.
NPI 1215920921
Substance Abuse Rehabilitation Facility in Sacramento, CA
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2320855
- CLIA Cert. Type: Other - RESIDENTIAL TREATMENT PRG
- CLIA Exp. Date: 03-24-2027
About SACRAMENTO RECOVERY HOUSE, INC.
This page provides the complete NPI Profile along with additional information for Sacramento Recovery House, Inc., a provider established in Sacramento, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1215920921 assigned on August 2005. The practitioner's primary taxonomy code is 324500000X with license number 340009AN (CA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Susan B Blacksher Msw (Executive Director)
- NPI
- 1215920921 Verify this NPI
- Provider Name
- SACRAMENTO RECOVERY HOUSE, INC.
- Entity Type
- Organization
- Location Address
- 1914 22ND ST SACRAMENTO, CA 95816
- Location Phone
- (916) 455-6258
- Mailing Address
- 2921 FULTON AVE SACRAMENTO, CA 95821
- Mailing Phone
- (916) 338-9460
- Mailing Fax
- (916) 338-9468
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-26-2005
- Last Update Date
- 08-13-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 340009AN
- License State
- CA
- Taxonomy Description
- 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.
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.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215920921, enumerated as an "organization" on August 26, 2005.
The provider is located at 1914 22ND ST SACRAMENTO, CA 95816 and the phone number is (916) 455-6258.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.