EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1013389725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013389725 |
Entity Type | Organization |
Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
Other Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
Practice Address |
170 S Spruce Ave Suite 250 South San Francisco CA 94080 |
Mailing Address |
957 Industrial Rd Suite B San Carlos CA 94070-4151 |
Practice Telephone | 6505178220 |
Practice Fax Number | 6505178239 |
Mailing Telephone | 6508326900 |
Enumeration Date | 2015-10-21 |
Last Update Date | 2018-07-02 |
Authorized Official Name | AMERICA MARIA GRAJEDA (DIRECTOR QUALITY IMPROVEMENT) |
Authorized Official Telephone | 4156823175 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Edgewood Center for Children and Families | Other Name - Individual/Organization |
Edgewood the San Francisco Protestant Orphanage | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790131548 | Edgewood Center for Children and Families | Counselor | 1112 Ingerson Ave, San Francisco, CA 94124-3514 | 2016-05-11 |
1861638652 | Edgewood Center for Children and Families | Community Based Residential Treatment Facility, Mental Illness | 131 Sears St, San Francisco, CA 94112-4029 | 2008-12-29 |
1093920647 | Edgewood Center for Children and Families | Community/Behavioral Health | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2007-05-14 |
1003269994 | Edgewood Center for Children and Families | Community/Behavioral Health | 604 Price Ave, Suite A and B, Redwood City, CA 94063 | 2016-07-15 |
1518310523 | Edgewood Center for Children and Families | Community/Behavioral Health | 931 San Bruno Ave W, San Bruno, CA 94066 | 2016-07-14 |
1255744298 | Edgewood Center for Children and Families | Community/Behavioral Health | 3801 3rd St, Suite 610/620, San Francisco, CA 94124-1446 | 2014-06-06 |
1386782340 | Edgewood Center for Children and Families | Voluntary or Charitable | 1801 Vicente St, San Francisco, CA 94116-2923 | 2007-02-02 |
1578627840 | Edgewood Center for Children and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-12-21 |
1811072796 | Edgewood Center for Children and Families | Clinic/Center | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-10-26 |
1275637274 | Edgewood Center for Children and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, Bldgs. A, D, H, L, M, P, S, W, San Francisco, CA 94116 | 2006-09-11 |
Street Address |
170 S SPRUCE AVE SUITE 250 |
City | SOUTH SAN FRANCISCO |
State | CA |
Zip Code | 94080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184944605 | Linda Blanca Mora | Counselor | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2010-06-07 |
1528665270 | Jamila Mccallum | Counselor | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2020-10-06 |
1699389254 | Louise Irene Bracy | Community Health Worker | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2020-09-01 |
1205459278 | Michelle Montoya Lew | Student in an Organized Health Care Education/Training Program | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2020-05-25 |
1710436787 | Marie Rogers | Marriage & Family Therapist | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2016-09-30 |
1306158472 | Lindsey Cordova | Marriage & Family Therapist | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2010-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
Find all providers in zip 94080 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336438621 | Healthright 360 | Community/Behavioral Health | 650 Sunset Ave, South San Francisco, CA 94080-7343 | 2011-04-07 |
1053633198 | Desicouch | Community/Behavioral Health | 61 Airport Blvd., Ste. C, South San Francisco, CA 94080 | 2010-02-17 |
1568506244 | Aspiranet | Community/Behavioral Health | 400 Oyster Point Blvd, Suite 501, South San Francisco, CA 94080-1904 | 2007-02-16 |
1578053377 | Unity Care Group, Inc. | Community/Behavioral Health | 403 W Orange Ave, South San Francisco, CA 94080-4443 | 2018-05-16 |
1154753861 | Jaime Hernandez | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2013-08-05 |
1457646960 | Sitike,inc | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2011-06-13 |
1477700052 | Telecare Corporation | Community/Behavioral Health | 1475 Huntington Ave Ste 150, South San Francisco, CA 94080-5975 | 2008-08-26 |
1568582526 | Ymca of San Francisco | Community/Behavioral Health | 1486 Huntington Ave, South San Francisco, CA 94080-5970 | 2007-03-30 |
1265563688 | Healthright 360 | Community/Behavioral Health | 1115 Mission Rd, South San Francisco, CA 94080-1302 | 2007-03-08 |
1134250913 | Healthright 360 | Community/Behavioral Health | 1115 Mission Rd, South San Francisco, CA 94080-1302 | 2007-03-07 |
Find all providers in SOUTH SAN FRANCISCO |
City | SOUTH SAN FRANCISCO |
Zip Code | 94080 |
Please comment or provide details below to improve the information on EDGEWOOD CENTER FOR CHILDREN AND FAMILIES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.