REDWOOD COTTAGE
NPI 1265905129
Residential Treatment Facility, Emotionally Disturbed Children in Stockton, CA

Active since January 03, 2019
1658 W EUCLID AVE, STOCKTON, CA 95204(209) 466-0853 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2019, Jan 3, 2019 (2 updates tracked since 2019).

About Redwood Cottage NPPES

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

REDWOOD COTTAGE (NPI 1265905129) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Stockton, California and active in the NPI registry since January 2019. The organization lists Joelle Gomez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265905129
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCHILDREN'S HOME OF STOCKTON
Location Address1658 W EUCLID AVEStockton, CA 95204-2907
Mailing Address430 N Pilgrim StStockton, CA 95205-4428 · (209) 466-0853
Organization SubpartYes
Authorized OfficialJoelle GomezCeo · (209) 466-0853
Enumeration DateJanuary 3, 2019
Last NPPES UpdateJanuary 15, 20192 updates tracked since enumeration
NPI 1265905129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1658 W EUCLID AVE, Stockton, CA 95204

Other Names 1

Other NameRedwood Cottage

Other Identifiers 1

Medicaid390300131CA

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 Children's Home Of Stockton's NPI number?

The NPI number for Children's Home Of Stockton is 1265905129. It was assigned to this organization in the NPPES registry on January 3, 2019. The provider is also known as Redwood Cottage.

Where is Children's Home Of Stockton located?

Children's Home Of Stockton is located at 1658 W Euclid Ave, Stockton, CA 95204. The listed phone number is (209) 466-0853.

What is Children's Home Of Stockton's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Children's Home Of Stockton was last updated on January 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.