HOUSING AND WELLNESS PROGRAM – NPI #1386869246
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

HOUSING AND WELLNESS PROGRAM is a community based residential treatment facility located in SANTA ROSA, CA. NPPES has assigned the NPI number 1386869246 to HOUSING AND WELLNESS PROGRAM on April 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOUSING AND WELLNESS PROGRAM” is a dba name, the actual legal business name for this organization is COMMUNITY SUPPORT NETWORK. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 4 years ago on May 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOUSING AND WELLNESS PROGRAM below.

NPI Profile for
COMMUNITY SUPPORT NETWORK

NPI Number
1386869246
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY SUPPORT NETWORK
Doing Business As (dba): HOUSING AND WELLNESS PROGRAM
Primary location
201 S. E ST
SANTA ROSA, CA 95404
Phone: (707) 573-6968 Fax: (707) 569-8358
Mailing address
1410 GUERNEVILLE RD
SUITE 14
SANTA ROSA, CA 95403
Phone: (707) 575-0979 Fax: (707) 573-6968
Organization Subpart
Yes - HOUSING AND WELLNESS PROGRAM is subpart of another organization.
Authorized Official
TOM BIERI
EXECUTIVE DIRECTOR
Phone: (707) 575-0979
Updated
Certification Date
May 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 CA 490111571

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.