ADEONA HEALTHCARE, LLC (NPI# 1306254818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306254818 |
| Entity Type | Organization |
| Organization Name | ADEONA HEALTHCARE, LLC |
| Practice Address |
2815 Steele Canyon Rd El Cajon CA 92019-4619 |
| Mailing Address |
Po Box 5705 San Clemente CA 92674-5705 |
| Practice Telephone | 9495229553 |
| Practice Fax Number | 9499431541 |
| Mailing Telephone | 9496250376 |
| Mailing Fax Number | 9493909889 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | RON GIRSKIS (BUSINESS OPERATION SPECIALIST) |
| Authorized Official Telephone | 9493598273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Sovereign Health Rancho San Diego | Doing Business As Name - Organization |
| Street Address |
2815 STEELE CANYON RD |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417922873 | Brenda Joy Baker | Physician Assistant | 2815 Steele Canyon Rd, Sovereign Health, El Cajon, CA 92019-4619 | 2006-02-21 |
| 1275054041 | Brandon Douglas Like | Marriage & Family Therapist | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2017-07-03 |
| 1568704641 | Ruth Nicole Mondolfi | Psychiatry & Neurology | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2013-03-26 |
| 1679824403 | Nikala Prowznik | Registered Nurse | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2012-09-19 |
| 1821346040 | New Alternatives, Inc Cac | Clinic/Center | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2012-08-20 |
| 1891069811 | Patrick Coll | Counselor | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2012-03-08 |
| 1902177108 | Whitney Wilson | Counselor | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2012-01-19 |
| 1386933703 | Erin Murphy | Counselor | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2011-04-06 |
| 1891090429 | Brandon Mcdonald | Counselor | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2011-01-12 |
| 1255641429 | Mayra Castillo | Counselor | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2010-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154782092 | Mcalister Institute | Substance Abuse Rehabilitation Facility | 1400 N Johnson Ave, El Cajon, CA 92020-1650 | 2016-03-18 |
| 1447628391 | Mcalister Institute | Substance Abuse Rehabilitation Facility | 1400 N Johnson Ave, El Cajon, CA 92020-1650 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
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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.