REDWOOD COMMUNITY SERVICES, INC — NPI 1265897029 (Licensed & Credentialed Substance Abuse Rehabilitation Facility in UPPER LAKE, CA)

CMS-1500 Box 24J / 33a • NPI

1265897029

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

324500000X

Licensed & Credentialed Substance Abuse Rehabilitation Facility

Box 32 Service Location & ZIP+4

675 1ST ST, UPPER LAKE, CA, 95485

Official NPPES Practice Location

Practice Phone & Referral Fax

(707) 275-8776

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265897029 (REDWOOD COMMUNITY SERVICES, INC) 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	`1265897029` (NPI-2 Organization / Facility)
Provider / Legal Name	REDWOOD COMMUNITY SERVICES, INC
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	675 1ST ST, UPPER LAKE, CA, 95485
Practice Telephone / Fax	Tel: (707) 275-8776
Administrative Mailing Address	PO BOX 2077, UKIAH, CA, 95482-2077
Enumeration & Last Sync	Enumerated: 2015-12-22 \| CMS Record Updated: 2020-01-21
Authorized Official	VICTORIA KELLY (Chief Executive Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

675 1ST ST, UPPER LAKE, CA, 95485

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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 (REDWOOD COMMUNITY SERVICES, INC)

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
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`252Y00000X` — Early Intervention Provider Agency Plain English: Licensed & Credentialed Early Intervention Provider Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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REDWOOD COMMUNITY SERVICES, INC (NPI #1265897029)