# LEMONADE RECOVERY HOMES 1

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265258669
- **Authorized official:** GRACE KOZ (FOUNDER, CEO)
- **Authorized official phone:** (408) 898-8791

## Contact information

- **Practice address:** 1371 BUTTE ST, TULARE, CA 93274-7858
- **Practice address phone:** (833) 939-6159
- **Mailing address:** 99 ALMADEN BLVD STE 600, SAN JOSE, CA 95113-1605
- **Mailing address phone:** (833) 939-6159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |
| 251B00000X | Case Management Agency | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251X00000X | Supports Brokerage Agency | — | — | — |

## Other

- **Enumeration date:** 12/02/2024
- **Last updated:** 12/02/2024