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PHOENIX HOUSE
NPI 1720741093
Community Based Residential Treatment Facility, Mental Illness in Ukiah, CA

Active since October 14, 2021
641 S. ORCHARD AVE, UKIAH, CA 95482(707) 467-2010 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, Oct 14, 2021 (2 updates tracked since 2021).

About Phoenix House NPPES

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

PHOENIX HOUSE (NPI 1720741093) is a healthcare organization registered as a community based residential treatment facility, mental illness in Ukiah, California and active in the NPI registry since October 2021. The organization lists Victoria J Kelly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720741093
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameREDWOOD COMMUNITY SERVICES, INC
Location Address641 S. ORCHARD AVEUkiah, CA 95482
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 467-2010
Organization SubpartNo
Authorized OfficialVictoria J KellyCeo · (707) 467-2010
Enumeration DateOctober 14, 2021
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1720741093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
641 S. ORCHARD AVE, Ukiah, CA 95482
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Other Names 1

Other NamePhoenix House

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIA ZARAGOZA DE SOTO
Day Training/Habilitation Specialist
641 S. ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
JON-ANN NORTON
Day Training/Habilitation Specialist
641 S. ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
CELINA PRYOR
Day Training/Habilitation Specialist
641 S. ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
SAUNDRA COSTA
Counselor
641 S. ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
LAURA NAVA
Day Training/Habilitation Specialist
641 S. ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
EREK MCCULLOCH
Day Training/Habilitation Specialist
641 S. ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010

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 1720741093. It was assigned to this organization in the NPPES registry on October 14, 2021. The provider is also known as Phoenix House.

Where is Redwood Community Services, Inc located?

Redwood Community Services, Inc is located at 641 S. Orchard Ave, Ukiah, CA 95482. The listed phone number is (707) 467-2010.

What is Redwood Community Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Redwood Community Services, Inc was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.