PANACEA, INC.


Address: 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459
Phone: 5592410364

PANACEA, INC. (NPI# 1174691554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174691554
Entity Type Organization
Organization Name PANACEA, INC.
Practice Address 3152 N Millbrook Ave Ste D
Fresno
CA 93703-1459
Practice Telephone 5592410364
Mailing Telephone 5592410364
Enumeration Date 2006-12-01
Last Update Date 2018-11-08
Authorized Official Name MR. PHILLIP COWINGS (DIRECTOR)
Authorized Official Telephone 5592410364
Is Organization Subpart Y
Parent Organization Name PANACEA SERVICES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
N 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA 343444000 MEDI-CAL 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043488174 Panacea, Inc. Community/Behavioral Health 2850 49th St, Sacramento, CA 95817-2303 2008-02-12
1275711137 Panacea, Inc. Community/Behavioral Health 6131 Orange Ave, Sacramento, CA 95823-3226 2008-02-03
1457539314 Panacea, Inc. Community/Behavioral Health 8333 Vintage Park Dr, Sacramento, CA 95828-6178 2008-02-03
1740467232 Panacea, Inc. Community/Behavioral Health 5301 N St, Sacramento, CA 95819-4126 2008-01-28
1477730968 Panacea, Inc. Community/Behavioral Health 3801 Broadway, Sacramento, CA 95817-3301 2008-01-28
1568649051 Panacea, Inc. Community/Behavioral Health 5301 Elmer Way, Sacramento, CA 95822-2414 2008-01-28
1003093592 Panacea, Inc. Community/Behavioral Health 6715 Gloria Dr, Sacramento, CA 95831-2008 2008-01-28
1821275314 Panacea, Inc. Community/Behavioral Health 3063 Gold Canal Dr, Rancho Cordova, CA 95670 2008-01-28
1922285410 Panacea, Inc. Community/Behavioral Health 9325 Mirandy Dr, Sacramento, CA 95826-5224 2008-01-27
1831376326 Panacea, Inc. Community/Behavioral Health 1600 Vallejo Way, Sacramento, CA 95818-3837 2008-01-27

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations PANACEA, INC. 4221 Fort Hamilton Parkway, Brooklyn, Ny 11219

Office Location

Street Address 3152 N MILLBROOK AVE STE D
City FRESNO
State CA
Zip Code 93703-1459

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225572407 Monica Venegas Counselor 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 2016-12-07
1992197586 Veronica Serna Counselor 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 2015-02-19
1467882191 Donnell Perry Counselor 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 2013-11-15
1770828386 Richard Muro Counselor 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 2012-12-07
1629322185 Gloria Hicks Counselor 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 2012-11-06
1851596522 Jesse Mendez IIi Counselor 3152 N Millbrook Ave Ste D, Fresno, CA 93703 2007-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396395638 Angelica Gomez Behavior Technician 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 2019-09-18
1326521659 Skylar Nunes Licensed Vocational Nurse 3133 N. Millbrook Ave, Fresno, CA 93703 2018-09-12
1700379377 Heather Rae Mann Counselor 3133 N Miibrook Ave, Fresno, CA 93703 2018-06-08
1891296422 Guardian Angel's Adult Day Healt Care, LLC Clinic/Center 4837 E. Mckinley Avenue, Fresno, CA 93703 2018-02-28
1275052987 Diana Christine Garnica Nurse Practitioner 4950 E Clinton Ave, Fresno, CA 93703 2017-09-13
1639609241 Ryan Ruhl Case Manager/Care Coordinator 3133 N Millbrook Ave., Fresno, CA 93703 2017-06-15
1972034221 Anna Garcia Counselor 1505 N Chestnut, Fresno, CA 93703 2017-03-27
1306227947 Innovations Counseling Services Health Maintenance Organization 2100 Wst. Winery Ave, 101, Fresno, CA 93703 2015-06-09
1639592553 Janelle K Raynor Counselor 1911 East Princeton Avenue, Fresno, CA 93703 2014-01-29
1104166297 Jessica Marie Flowers-guerrero Marriage & Family Therapist 3133 N. Millbrook Ave., Fresno, CA 93703 2013-02-26
Find all providers in zip 93703

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013518687 Turning Point of Central California, Inc. Community/Behavioral Health 3636 N 1st St Ste 112, Fresno, CA 93726-6818 2020-11-02
1114527637 Clarke-lauren Stevenson Richard Community/Behavioral Health 1277 E Loma Linda Ave, Fresno, CA 93720-2668 2020-10-26
1003413600 Kings View Corporation Community/Behavioral Health 7170 N Financial Dr Ste 110, Fresno, CA 93720-2935 2020-10-06
1396360855 North Star Wellness Center, Inc Community/Behavioral Health 6051 N Fresno St Ste 105, Fresno, CA 93710-5280 2020-06-10
1710509377 Mary Kay Buckley, Psychotherapist Inc Community/Behavioral Health 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 2020-05-17
1992345797 Quality Group Homes, Inc. Community/Behavioral Health 643 E Sample Ave, Fresno, CA 93710-5428 2020-01-09
1790321412 Majesty Holistic Health Services Community/Behavioral Health 2906 Valiant Elm St, Fresno, TX 77545-8160 2019-11-19
1508410341 Fresno Youth Care Homes, Inc. Community/Behavioral Health 64 E Weldon Ave, Fresno, CA 93704-5956 2019-07-30
1447740063 Central Star Behavioral Health, Inc. Community/Behavioral Health 3433 W Shaw Ave, Fresno, CA 93711-3229 2018-05-18
1114431897 My Time Recovery, LLC Community/Behavioral Health 1107 W Rialto Ave, Fresno, CA 93705-0918 2017-11-17
Find all providers in FRESNO

Competitor

Search similar providers

City FRESNO
Zip Code 93703

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Dataset Information

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.

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