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YELLOW WOOD RECOVERY INC
NPI 1417637935
Substance Abuse Rehabilitation Facility in Rancho Cordova, CA

Active since July 19, 2023CLIA Certified · 2 labs
2969 PROSPECT PARK DR STE 225, RANCHO CORDOVA, CA 95670(916) 238-6070(916) 238-6070 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yellow Wood Recovery Inc NPPES

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

YELLOW WOOD RECOVERY INC (NPI 1417637935) is a healthcare organization registered as a substance abuse rehabilitation facility in Rancho Cordova, California and active in the NPI registry since July 2023. The organization holds 2 active CLIA laboratory certificates and lists Eileen Javed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417637935
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameYELLOW WOOD RECOVERY INC
Location Address2969 PROSPECT PARK DR STE 225Rancho Cordova, CA 95670-6188
Mailing Address2969 Prospect Park Dr Ste 225Rancho Cordova, CA 95670-6188 · (916) 820-4747 · Fax (916) 238-6070
Phone(916) 238-6070
Fax(916) 238-6070
Organization SubpartNo
Authorized OfficialEileen JavedCeo · (916) 238-6070
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1417637935 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.
2969 PROSPECT PARK DR STE 225, Rancho Cordova, CA 95670
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2304976

Yellow Wood Recovery Inc · Rancho Cordova, CA
Active · expires May 20, 2028
CLIA Number05D2304976
Laboratory TypeOutpatient Sud
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorDaniel Lewis
Laboratory Phone(916) 238-6070
Laboratory LocationYellow Wood Recovery Inc2969 Prospect Park Dr Ste 225, Rancho Cordova, CA 95670
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2309692

Yellow Wood Recovery Inc · Rancho Cordova, CA
Active · expires Aug 19, 2026
CLIA Number05D2309692
Laboratory TypeUtpatient Sud
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorDaniel Lewis
Laboratory Phone(916) 238-6070
Laboratory LocationYellow Wood Recovery Inc4061 Quarter Dome Circle, Rancho Cordova, CA 95742
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Yellow Wood Recovery Inc's NPI number?

The NPI number for Yellow Wood Recovery Inc is 1417637935. It was assigned to this organization in the NPPES registry on July 19, 2023.

Where is Yellow Wood Recovery Inc located?

Yellow Wood Recovery Inc is located at 2969 Prospect Park Dr Ste 225, Rancho Cordova, CA 95670. The listed phone number is (916) 238-6070.

What is Yellow Wood Recovery Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Yellow Wood Recovery Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Yellow Wood Recovery Inc was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.