MADRONE HOUSE - NPI 1538445358 - Community/Behavioral Health in Redwood Valley, CA

Q: What is Redwood Community Services, Inc.'s NPI number?

The NPI number for Redwood Community Services, Inc. is 1538445358. It was assigned to this organization in the NPPES registry on October 25, 2011. The provider is also known as Madrone House.

Q: What is Redwood Community Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Madrone House NPPES

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

MADRONE HOUSE (NPI 1538445358) is a healthcare organization registered as a community/behavioral health in Redwood Valley, California and active in the NPI registry since October 2011. The organization lists Victoria Jersuha Kelly, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1538445358

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameREDWOOD COMMUNITY SERVICES, INC.

Location Address7351 SEMS LNRedwood Valley, CA 95470

Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010 · Fax (707) 467-2009

Phone(707) 467-9192

Fax(707) 467-9345

Organization SubpartNo

Authorized OfficialVictoria Jersuha KellyChief Executive Officer · (707) 467-2010

Enumeration DateOctober 25, 2011

Last NPPES UpdateJanuary 21, 20205 updates tracked since enumeration

✔ NPI 1538445358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

7351 SEMS LN, Redwood Valley, CA 95470

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Other Names 1

Other NameMadrone House

Other Identifiers 1

Other23CICA · Mendocino County Provider Number

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.

CESAR DIAZ

Day Training/Habilitation Specialist