G&C SWAN INC (NPI# 1285079350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285079350 |
| Entity Type | Organization |
| Organization Name | G&C SWAN INC |
| Other Organization Name | HIS HOUSE ADDICTION TREATMENT CENTER |
| Practice Address |
1354 Carlos Pl Ontario CA 91764-2310 |
| Mailing Address |
333 E Arrow Hwy #220 Upland CA 91785-7088 |
| Practice Telephone | 9092417219 |
| Practice Fax Number | 9099852316 |
| Mailing Telephone | 9092417219 |
| Mailing Fax Number | 9099852316 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MRS. GLENN SWANSON (CEO) |
| Authorized Official Telephone | 9092417219 |
| Authorized Official Credential | CADAC II, BS, MB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 360075CP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| His House Addiction Treatment Center | Doing Business As Name - Organization |
| Street Address |
1354 CARLOS PL |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129282 | Clare Matrix | Substance Abuse Rehabilitation Facility | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2014-02-07 |
| 1477782431 | Unio Recovery Center | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2009-07-10 |
| 1588193262 | Jovanna Vargas | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-06-07 |
| 1538696752 | Wanpen Strength | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-05-18 |
| 1891243663 | Tyler Woods | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-21 |
| 1639627409 | Olivia Rodriguez | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-21 |
| 1891243754 | Dixie Woods | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-20 |
| 1336697309 | Gart Hardin | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-19 |
| 1174071153 | David Jacobus | Substance Abuse Rehabilitation Facility | 686 Nw 9th St, Ontario, OR 97914-1600 | 2016-09-19 |
| 1023566361 | Rose Pearce | Substance Abuse Rehabilitation Facility | 702 Sunset Dr, Ontario, OR 97914-3121 | 2016-09-15 |
| Find all providers in ONTARIO | ||||
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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.