WILLOW GLEN CARE CENTER (NPI# 1063022085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063022085 |
| Entity Type | Organization |
| Organization Name | WILLOW GLEN CARE CENTER |
| Practice Address |
1251 Stabler Ln Yuba City CA 95993-2616 |
| Mailing Address |
1547 Plumas Ct Yuba City CA 95991-2960 |
| Practice Telephone | 5307519900 |
| Practice Fax Number | 5307519915 |
| Mailing Telephone | 5307519900 |
| Mailing Fax Number | 5307519915 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MR. JEFF T PAYNE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5307519904 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOW GLEN CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Cedar Grove | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790111391 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1541 Plumas Ct, Yuba City, CA 95991-2960 | 2013-09-16 |
| 1093156317 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 2753 White Ave, Chico, CA 95973-0496 | 2013-07-15 |
| 1730235722 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1547 Plumas Ct, Yuba City, CA 95991-2960 | 2007-01-25 |
| 1932552072 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 556 Cohasset Rd, Chico, CA 95926-2212 | 2016-07-13 |
| 1760819767 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 414 S Main St, Willits, CA 95490-3908 | 2013-10-04 |
| 1053467688 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1547 Plumas Ct, Yuba City, CA 95991-2960 | 2007-01-26 |
| Street Address |
1251 STABLER LN |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95993-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841241130 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 1251 Stabler Ln, Yuba City, CA 95993-2616 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1295213296 | Peach Tree Healthcare | Dentist | 1275 Tharp Rd., Yuba City, CA 95993 | 2018-08-01 |
| 1881182509 | Michele Blake | Health Educator | 1531-a Butte House Road, Yuba City, CA 95993 | 2018-04-27 |
| 1295239127 | Restore Medical, Inc. | Prosthetic/Orthotic Supplier | 475 Century Park Dr. Suite A, Yuba City, CA 95993 | 2018-03-23 |
| 1386160489 | Raveena Bains | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K, Station 3 Shroc, Portales, NM 95993 | 2017-08-21 |
| 1811412588 | Julie Price | Health Educator | 1531 Butte House Road, Suite A, Yuba City, CA 95993 | 2017-08-03 |
| 1871973289 | Harbans Kaur Gill | Obstetrics & Gynecology | 1532 Chandler Way, Yuba City, CA 95993 | 2015-06-02 |
| 1942619374 | Jacob Ray Anderson | Physical Therapist | 1110 Civic Center Blvd Ste. 502, Yuba City, CA 95993 | 2014-08-11 |
| 1912243791 | Sayuli S Wong | Psychologist | 1585 Butte House Rd., Suite C, Yuba City, CA 95993 | 2012-12-22 |
| 1831459072 | Wilbur Frank Armbrust | Obstetrics & Gynecology | 428 Laramada, Yuba City, CA 95993 | 2012-05-22 |
| Find all providers in zip 95993 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790111391 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1541 Plumas Ct, Yuba City, CA 95991-2960 | 2013-09-16 |
| 1902028319 | Sun Garden Rest Home | Community Based Residential Treatment Facility, Mental Illness | 3444 Elmer Ave, Yuba City, CA 95993-9605 | 2007-05-03 |
| 1730235722 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1547 Plumas Ct, Yuba City, CA 95991-2960 | 2007-01-25 |
| 1629440268 | Priorities Inc | Community Based Residential Treatment Facility, Mental Illness | 1535 Plumas Ct, Suite B, Yuba City, CA 95991 | 2015-10-22 |
| 1053467688 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 1547 Plumas Ct, Yuba City, CA 95991-2960 | 2007-01-26 |
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|---|---|---|---|---|
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| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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| 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.