Madrone House

LBN: Redwood Community Services, Inc.
Madrone House is an health care organization with primary practice located at 7351 Sems Ln , Redwood Valley CA 95470. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Redwood Community Services, Inc. can be contacted via phone (707) 467-9192, or through Kelly, Victoria Jersuha via phone (707) 467-2010.

Contact Information

Primary practice address
7351 Sems Ln Redwood Valley CA 95470
Phone: (707) 467-9192
Fax: (707) 467-9345
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Victoria Jersuha Licensed Clinical Social Worker (LCSW)
Phone: (707) 467-2010

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X California
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1538445358
LBN Legal business name Redwood Community Services, Inc.
DBA Doing business as Madrone House
Authorized official Kelly, Victoria Jersuha Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2011
Last updated Jan 21st, 2020 - about 4 years 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 1538445358 NPPES
California Other 23CI MENDOCINO COUNTY PROVIDER NUMBER

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