DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRYAN'S HOUSE RECOVERY HOME

MEDICARE: BRYAN'S HOUSE RECOVERY HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275001067
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRYAN'S HOUSE RECOVERY HOME
Provider Business Mailing Address
First Line : 7760 WHISPERING TRAILS PL
Second Line :
City : PASO ROBLES
State : CA
Zip : 93446-6396
Country : US
Telephone Number : 805-674-3131
Fax Number : 866-306-5825
Provider Business Practice Location Address
First Line : 5655 ARDILLA AVE
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-3222
Country : US
Telephone Number : 805-460-6621
Fax Number : 866-306-5825
Authorized Official
Title or Position : DIRECTOR
Name : SANDRA LEA WORTLEY
Credential : LAADC
Telephone Number : 805-464-4660
Provider Enumeration Date : 11/09/2018
Last Update Date : 06/04/2025

Similar Medicare Providers

1164373056 — STEPHANI MARIE LANGLEY
Practice Location Address:
5655 ARDILLA AVE
ATASCADERO, CA
93422-3222
Practice Phone: 805-464-4660
Practice Fax:
1235498353 — JENNIFER ANN GUSTAVSON-DUFOUR LMFT #98554
Practice Location Address:
5655 ARDILLA AVE
ATASCADERO, CA
93422-3222
Practice Phone: 805-464-4660
Practice Fax:
1316623838 — AMBER LYNN MILLER
Practice Location Address:
5655 ARDILLA AVE
ATASCADERO, CA
93422-3222
Practice Phone: 805-464-4660
Practice Fax:
1881375046 — SIERRA LEANN SANTIAGO
Practice Location Address:
5655 ARDILLA AVE
ATASCADERO, CA
93422-3222
Practice Phone: 805-464-4660
Practice Fax:
1720861917 — CASSANDRA LYNN BOOKER RADT-I
Practice Location Address:
5655 ARDILLA AVE
ATASCADERO, CA
93422-3222
Practice Phone: 805-464-4660
Practice Fax:
1053168963 — CHERISH RENEE CELESTINE
Practice Location Address:
5655 ARDILLA AVE
ATASCADERO, CA
93422-3222
Practice Phone: 58-464-4660
Practice Fax:

Directions to “BRYAN'S HOUSE RECOVERY HOME ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.