VILLA DE MARTIN JUDE HOMES ATLANTA HOUSE (NPI# 1316377229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316377229 |
| Entity Type | Organization |
| Organization Name | VILLA DE MARTIN JUDE HOMES ATLANTA HOUSE |
| Practice Address |
2204 S Atlanta St Anaheim CA 92802-3905 |
| Practice Telephone | 7145390696 |
| Mailing Telephone | 7145390696 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | MR. RAMON LOPEZ (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7147464294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | CA | Residential Treatment Facilities |
| Street Address |
2204 S ATLANTA ST |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| Find all providers in zip 92802 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360900 | Afestin Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2107 W Grayson Ave, Anaheim, CA 92801-1621 | 2016-08-09 |
| 1982034898 | Villa De Martin Jude Homes Archer 2 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320 S Archer St, Anaheim, CA 92804-2418 | 2013-11-14 |
| 1053740878 | Tri-elizabeth Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 207 N Bel Air St, Anaheim, CA 92801-6205 | 2013-11-02 |
| 1811326739 | New Horizon Integrated Care, Icf-dd-home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2660 W Trojan Pl, Anaheim, CA 92804-2029 | 2013-11-01 |
| 1144375049 | Liberty House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1133 N Liberty Ln, Anaheim, CA 92805-1544 | 2007-01-24 |
| 1164501912 | New Horizon Interated Care, Icf-dd Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8812 Athens Ct, Anaheim, CA 92804-6204 | 2006-11-03 |
| 1922187772 | Snch Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 327 N Sunkist St, Anaheim, CA 92806 | 2006-11-03 |
| 1316021942 | Pilar M. De Castro & Co. Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 804 N Magnolia Ave, Anaheim, CA 92801-3109 | 2006-10-24 |
| 1194808261 | Villa De Martin Jude Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 S Archer St, Anaheim, CA 92804-2422 | 2006-10-23 |
| 1043234487 | Sunrise Home Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 306 N Siesta St, Anaheim, CA 92801-5117 | 2006-07-27 |
| Find all providers in ANAHEIM | ||||
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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.