H.O.M.E. TULE HOUSE
NPI 1265897029
Substance Abuse Rehabilitation Facility in Upper Lake, CA

Active since December 22, 2015
675 1ST ST, UPPER LAKE, CA 95485(707) 275-8776 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2020, Apr 12, 2019, Jul 20, 2018 and 3 more (6 updates tracked since 2015).

About H.o.m.e. Tule House NPPES

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

H.O.M.E. TULE HOUSE (NPI 1265897029) is a healthcare organization registered as a substance abuse rehabilitation facility in Upper Lake, California and active in the NPI registry since December 2015. The organization lists Victoria Jersuha Kelly, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1265897029
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameREDWOOD COMMUNITY SERVICES, INC
Location Address675 1ST STUpper Lake, CA 95485
Mailing AddressPo Box 2077, 631 S. Orchard StreetUkiah, CA 95482-2077 · (707) 467-2010 · Fax (707) 463-4931
Organization SubpartYesParent: Redwood Community Services, Inc.
Authorized OfficialVictoria Jersuha KellyChief Executive Officer · (707) 467-2010
Enumeration DateDecember 22, 2015
Last NPPES UpdateJanuary 21, 20206 updates tracked since enumeration
NPI 1265897029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
675 1ST ST, Upper Lake, CA 95485

Other Names 1

Other NameH.o.m.e. Tule House

Other Providers at the Same Location NPPES 10

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

Counselor
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485
Counselor (Addiction (Substance Use Disorder))
675 1ST ST
UPPER LAKE, CA 95485
Counselor
675 1ST ST
UPPER LAKE, CA 95485

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 Redwood Community Services, Inc's NPI number?

The NPI number for Redwood Community Services, Inc is 1265897029. It was assigned to this organization in the NPPES registry on December 22, 2015. The provider is also known as H.O.M.E. Tule House.

Where is Redwood Community Services, Inc located?

Redwood Community Services, Inc is located at 675 1st St, Upper Lake, CA 95485. The listed phone number is (707) 275-8776.

What is Redwood Community Services, Inc'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 Redwood Community Services, Inc was last updated on January 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.