OLD OAK RANCH RECOVERY NPI 1871191569

NPI Information

NPI: 1871191569
Provider Name: OLD OAK RANCH RECOVERY
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Doing Business As: THE REFUGE RECOVERY CENTER
Address: 19401 SUSAN WAY
SONORA, CA
ZIP 95370
Phone: (209) 588-6071

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NPI Details

OLD OAK RANCH RECOVERY is a case manager care coordinator in Sonora, CA. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. OLD OAK RANCH RECOVERY NPI is 1871191569. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Refuge Recovery Center.

The provider's business location address is:

19401 SUSAN WAY
SONORA, CA
ZIP 95370-266
Phone: (209) 588-6071

The provider's authorized official is Christopher H Khan .
The authorized official title is President and has the following contact phone number (209) 588-6164.

The enumeration date for this NPI number is 10/14/2020 and was last updated on 8/5/2024.

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	171M00000X	Case Manager/Care Coordinator		Yes
2	251X00000X	Supports Brokerage		No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	324500000X	Substance Abuse Rehabilitation Facility		No
5	385H00000X	Respite Care		No

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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