ADCS WOMEN'S RESIDENTIAL — NPI 1235689290 (Licensed & Credentialed Substance Abuse Rehabilitation Facility in EUREKA, CA)

CMS-1500 Box 24J / 33a • NPI

1235689290

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

324500000X

Licensed & Credentialed Substance Abuse Rehabilitation Facility

Box 32 Service Location & ZIP+4

1742 J ST, EUREKA, CA, 95501-2648

✓ 9-Digit EDI 837 ZIP+4 (95501-2648)

Practice Phone & Referral Fax

(707) 442-2232

Fax: (707) 442-2232

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235689290 (ADCS WOMEN'S RESIDENTIAL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235689290` (NPI-2 Organization / Facility)
Provider / Legal Name	ADCS WOMEN'S RESIDENTIAL
Plain-English Specialty	Licensed & Credentialed Substance Abuse Rehabilitation Facility NUCC Code: `324500000X` (Substance Abuse Rehabilitation Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1742 J ST, EUREKA, CA, 95501-2648
Practice Telephone / Fax	Tel: (707) 442-2232 \| Fax: (707) 442-2232
Administrative Mailing Address	2109 BROADWAY STE A, EUREKA, CA, 95501-2106
Enumeration & Last Sync	Enumerated: 2016-10-13 \| CMS Record Updated: 2016-10-13
Authorized Official	JOHN MCMANUS (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1742 J ST, EUREKA, CA, 95501-2648

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Plain-English Taxonomy & CMS Crosswalk (324500000X)

What Does Taxonomy Code 324500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 324500000X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Substance Abuse Rehabilitation Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADCS WOMEN'S RESIDENTIAL)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: CA \| License: `120009CN` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADCS WOMEN'S RESIDENTIAL (NPI #1235689290)