AVERY LANE
NPI 1922693720
Substance Abuse Rehabilitation Facility in Novato, CA

Q: What is Avery Lane's NPI number?

The NPI number for Avery Lane is 1922693720. It was assigned to this organization in the NPPES registry on March 3, 2021.

Q: What is Avery Lane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Avery Lane was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 03, 2021

133 MAESTRO RD, NOVATO, CA 94947(415) 895-5360(415) 895-5053 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Mar 3, 2021 (2 updates tracked since 2021).

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About Avery Lane NPPES

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

AVERY LANE (NPI 1922693720) is a healthcare organization registered as a substance abuse rehabilitation facility in Novato, California and active in the NPI registry since March 2021. The organization lists Camille Hildebrand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922693720

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameAVERY LANE

Location Address133 MAESTRO RDNovato, CA 94947-4217

Mailing Address505a San Marin Dr Ste 300Novato, CA 94945-1321 · (415) 895-5360

Phone(415) 895-5360

Fax(415) 895-5053

Organization SubpartNo

Authorized OfficialCamille HildebrandCeo · (415) 686-6127

Enumeration DateMarch 3, 2021

Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1922693720 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.

133 MAESTRO RD, Novato, CA 94947

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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 1922693720. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Avery Lane located?

Avery Lane is located at 133 Maestro 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 October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.