Mendocino House

LBN: Redwood Community Services, Inc
Mendocino House is an health care organization with primary practice located at 150 Gibson St , Ukiah CA 95482-3941. The organization recently has 7 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Redwood Community Services, Inc can be contacted via phone (707) 462-4770, or through Kelly, Victoria Jerusha via phone (707) 467-2010.

Contact Information

Primary practice address
150 Gibson St Ukiah CA 95482-3941
Phone: (707) 462-4770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Victoria Jerusha Licensed Clinical Social Worker (LCSW)
Phone: (707) 467-2010

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / Foster Care Agency 253J00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1174778674
LBN Legal business name Redwood Community Services, Inc
DBA Doing business as Mendocino House
Authorized official Kelly, Victoria Jerusha Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 25th, 2008
Last updated Apr 11th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174778674 NPPES
California Other 23BV MH SITE CERT - MENDOCINO COUNTY MH

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