Healthcare Provider Details

I. General information

NPI: 1780590240
Provider Name (Legal Business Name): GARCIA RECOVERY HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 CURTOLA PKWY
VALLEJO CA
94590-6927
US

IV. Provider business mailing address

1501 LATHWELL WAY
ROSEVILLE CA
95747-6276
US

V. Phone/Fax

Practice location:
  • Phone: 415-412-7491
  • Fax:
Mailing address:
  • Phone: 415-412-7491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RUBEN GARCIA SR.
Title or Position: OWNER/PROGRAM DIRECTOR
Credential:
Phone: 415-412-7491