AVERY LANE
NPI 1801526975
Substance Abuse Rehabilitation Facility in Novato, CA

Active since June 13, 2022
2500 VINEYARD RD, NOVATO, CA 94947(415) 895-5360 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avery Lane NPPES

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

AVERY LANE (NPI 1801526975) is a healthcare organization registered as a substance abuse rehabilitation facility in Novato, California and active in the NPI registry since June 2022. The organization lists Camille Hildebrand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801526975
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAVERY LANE
Location Address2500 VINEYARD RDNovato, CA 94947-3633
Mailing Address505a San Marin Dr Ste 300Novato, CA 94945-1321 · (415) 895-5360
Organization SubpartNo
Authorized OfficialCamille HildebrandCeo · (415) 686-6127
Enumeration DateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1801526975 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.

2500 VINEYARD RD, Novato, CA 94947

Other Identifiers 1

Other210049DPCA · Dhcs

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 1801526975. It was assigned to this organization in the NPPES registry on June 13, 2022.

Where is Avery Lane located?

Avery Lane is located at 2500 Vineyard Rd, Novato, CA 94947. The listed phone number is (415) 895-5360.

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 June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.