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: THE GATES RECOVERY FOUNDATION

MEDICARE: THE GATES RECOVERY FOUNDATION
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 Facility090016ANCA

General Provider Information

NPI Number : 1649326182
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE GATES RECOVERY FOUNDATION
Provider Business Mailing Address
First Line : 3717 E THOUSAND OAKS BLVD
Second Line : SUITE 266
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-3607
Country : US
Telephone Number : 805-413-1318
Fax Number : 805-413-1304
Provider Business Practice Location Address
First Line : 2810 COLOMA ST
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-4406
Country : US
Telephone Number : 530-622-9500
Fax Number : 530-622-9534
Authorized Official
Title or Position : CREDENTIALING SERVICES MANAGER
Name : APRIL J ANTONIOU
Credential :
Telephone Number : 805-413-1318
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1851259436 — JULIE ULLOA
Practice Location Address:
2844 COLOMA ST
PLACERVILLE, CA
95667-4406
Practice Phone: 530-626-9240
Practice Fax:
1366553612 — MS. LINDA ANN MARX MSW
Practice Location Address:
2844 COLOMA ST
PLACERVILLE, CA
95667-4406
Practice Phone: 530-642-1715
Practice Fax: 530-642-2064
1467549030 — DR. PAUL MICHAEL NERZ MD
Practice Location Address:
2844 COLOMA ST
PLACERVILLE, CA
95667-4406
Practice Phone: 916-871-6712
Practice Fax: 530-621-7707
1215072293 — PROGRESS HOUSE, INC.
Practice Location Address:
2844 COLOMA ST , PROGRESS HOUSE OUTPATIENT SERVICES
PLACERVILLE, CA
95667-4406
Practice Phone: 530-642-1715
Practice Fax:
1043542707 — PROGRESS HOUSE, INC.
Practice Location Address:
2844 COLOMA ST
PLACERVILLE, CA
95667-4406
Practice Phone: 530-626-9240
Practice Fax: 530-626-8992
1144547209 — NICOLE MARIE HAGLUND
Practice Location Address:
2844 COLOMA ST
PLACERVILLE, CA
95667-4406
Practice Phone: 530-626-9240
Practice Fax:

Directions to “THE GATES RECOVERY FOUNDATION ” 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.