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AVERY LANE
NPI 1275178014
Substance Abuse Rehabilitation Facility in Novato, CA

Active since November 15, 2019
685 ATHERTON AVE, NOVATO, CA 94945(415) 408-3480(415) 895-5297 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avery Lane NPPES

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

AVERY LANE (NPI 1275178014) is a healthcare organization registered as a substance abuse rehabilitation facility in Novato, California and active in the NPI registry since November 2019. The organization lists Camille Hildebrand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275178014
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAVERY LANE
Location Address685 ATHERTON AVENovato, CA 94945-2617
Mailing Address505 San Marin Dr Ste A300Novato, CA 94945-1351 · (415) 895-5360
Phone(415) 408-3480
Fax(415) 895-5297
Organization SubpartNo
Authorized OfficialCamille HildebrandCeo · (415) 686-6127
Enumeration DateNovember 15, 2019
✔ NPI 1275178014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
685 ATHERTON AVE, Novato, CA 94945
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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 Avery Lane's NPI number?

The NPI number for Avery Lane is 1275178014. It was assigned to this organization in the NPPES registry on November 15, 2019.

Where is Avery Lane located?

Avery Lane is located at 685 Atherton Ave, Novato, CA 94945. The listed phone number is (415) 408-3480.

What is Avery Lane'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 Avery Lane was last updated on November 15, 2019. 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.