NIRVANA DRUG AND ALCOHOL NPI 1215204276

NPI Information

NPI: 1215204276
Provider Name: NIRVANA DRUG AND ALCOHOL
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address: 1100 KANSAS AVE STE BC&D
MODESTO, CA
ZIP 95351
Phone: (209) 579-1151

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NPI Details

NIRVANA DRUG AND ALCOHOL is a substance abuse rehabilitation facility in Modesto, CA. The provider is 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. NIRVANA DRUG AND ALCOHOL NPI is 1215204276. The provider is registered as an organization entity type.

The provider's business location address is:

1100 KANSAS AVE STE BC&D
MODESTO, CA
ZIP 95351-596
Phone: (209) 579-1151
Fax: (209) 579-9605

The provider's authorized official is Dane T Helding .
The authorized official title is Executive Director and has the following contact phone number (209) 579-1151.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 5/28/2019.

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	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

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	500009CN	OTHER	CALIFORNIA	DEPARTMENT OF HEALTH CARE SERVICES

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: 11/21/2025

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