REDWOOD COMMUNITY SERVICES, INC – NPI #1720741093
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

REDWOOD COMMUNITY SERVICES, INC is a community based residential treatment facility located in UKIAH, CA. NPPES has assigned the NPI number 1720741093 to REDWOOD COMMUNITY SERVICES, INC on October 14, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. REDWOOD COMMUNITY SERVICES, INC is also known by the name PHOENIX HOUSE. 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 5 years ago on Nov 03, 2021. 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 REDWOOD COMMUNITY SERVICES, INC below.

NPI Profile for
REDWOOD COMMUNITY SERVICES, INC

NPI Number
1720741093
Enumeration Date

(more than 4 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
REDWOOD COMMUNITY SERVICES, INC
Other Name: PHOENIX HOUSE
Primary location
641 S. ORCHARD AVE
UKIAH, CA 95482
Phone: (707) 467-2010 Fax:
Mailing address
PO BOX 2077
UKIAH, CA 95482-2077
Phone: (707) 467-2010 Fax:
Organization Subpart
No
Authorized Official
VICTORIA KELLY
CEO
Phone: (707) 467-2010
Updated
Certification Date
Nov 03, 2021

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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
MEDICAID
Endpoint type
Other URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
641 S. ORCHARD AVE,
UKIAH, CA 77025-1669