FIVE SISTERS RANCH INC NPI 1639592082

NPI Information

NPI: 1639592082
Provider Name: FIVE SISTERS RANCH, INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1000 LONGHORN LN
PETALUMA, CA
ZIP 94952
Phone: (954) 678-0078
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FIVE SISTERS RANCH, INC is a community based residential treatment facility mental illness in Petaluma, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FIVE SISTERS RANCH, INC NPI is 1639592082. The provider is registered as an organization entity type.

The provider's business location address is:

1000 LONGHORN LN
PETALUMA, CA
ZIP 94952-808
Phone: (954) 678-0078

The provider's authorized official is Nancie Brown .
The authorized official title is Director and has the following contact phone number (954) 678-0078.

The enumeration date for this NPI number is 1/21/2014 and was last updated on 1/21/2014.

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		490035AP	CALIFORNIA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		490035AP	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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