Healthcare Provider Details

I. General information

NPI: 1417809005
Provider Name (Legal Business Name): CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N IRWIN ST
HANFORD CA
93230-4539
US

IV. Provider business mailing address

311 N DOUTY ST
HANFORD CA
93230-3951
US

V. Phone/Fax

Practice location:
  • Phone: 559-583-9300
  • Fax:
Mailing address:
  • Phone: 559-583-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO TOMAS RUIZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 559-794-2701