REDWOOD COMMUNITY SERVICES INC NPI 1174778674

NPI Information

NPI: 1174778674
Provider Name: REDWOOD COMMUNITY SERVICES, INC

Other Name: MENDOCINO HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
150 GIBSON ST
UKIAH, CA
ZIP 95482
Phone: (707) 462-4770
Get Directions

REDWOOD COMMUNITY SERVICES, INC is a community based residential treatment facility mental illness in Ukiah, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. REDWOOD COMMUNITY SERVICES, INC NPI is 1174778674. The provider is registered as an organization entity type.
The provider Other Name Is Mendocino House.

The provider's business location address is:

150 GIBSON ST
UKIAH, CA
ZIP 95482-941
Phone: (707) 462-4770

The provider's authorized official is Victoria Jerusha Kelly .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 467-2010.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 4/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	252Y00000X	Early Intervention Provider Agency		No
4	253J00000X	Foster Care Agency		No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes
7	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23BV	OTHER	CALIFORNIA	MH SITE CERT - MENDOCINO COUNTY MH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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