H.O.M.E. TULE HOUSE
NPI 1265897029
Substance Abuse Rehabilitation Facility in Upper Lake, CA
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
Specialties & Licenses 4
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
H.o.m.e. Tule House is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to H.O.M.E. Tule House, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Redwood Community Services, Inc enrolled in Medicare?
Yes. Redwood Community Services, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Redwood Community Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Redwood Community Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Marriage and Family Therapist (4) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# H.o.m.e. Tule House · NPI 1265897029
Substance Abuse Rehabilitation Facility organization in Upper Lake, California. Organization record, active in the CMS NPPES registry since December 22, 2015.
## Identity
- **NPI:** 1265897029 (Entity type: Organization)
- **Enumerated:** December 22, 2015
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Legal business name:** Redwood Community Services, Inc
- **Organization subpart:** Yes (part of Redwood Community Services, Inc.)
- **Authorized official:** Victoria Kelly, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 675 1ST ST, Upper Lake, CA 95485
- **Phone:** (707) 275-8776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Marriage and Family Therapist (4), Mental Health Counselor (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265897029) · Data from the CMS NPPES public registry.