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.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
Other Providers Same Location
Frequently Asked Questions

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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SUSAN B BLACKSHER MSW
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (916) 338-9460

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.