REFUGE (NPI# 1336554062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336554062 |
| Entity Type | Organization |
| Organization Name | REFUGE |
| Practice Address |
4321 Tompkins Ave Oakland CA 94619-2820 |
| Mailing Address |
Po Box 19275 Oakland CA 94619-0275 |
| Practice Telephone | 5103028951 |
| Mailing Telephone | 5103015809 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | JASON HENDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 5103028951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Refuge | 504 Fourth St, Paonia, CO 81428-1464 |
| Oregon Corporations, Companies and Business Names | REFUGE | 430 Rustic Ln, Drain, OR 97435 |
| Connecticut Business Registrations | REFUGE 33 LLC | 56 Arbor St, Suite 310a, New Britain, CT 06106 |
| System for Award Management (SAM) Entities | REFUGE 91, INC. | 1207 Weddel Ave, Baltimore, MD 21227-1052 |
| New York State Corporations | REFUGE AND REST MANAGEMENT LLC | 217 East 70th Street, #2458, New York, Ny 10021 |
| Iowa Business Entities | REFUGE AT BUZZARD CREEK, LLC | 29695 405th St, Moravia, IA 52571 |
| Oregon Corporations, Companies and Business Names | REFUGE BARBER SHOP | 3543 Ne Broadway, Portland, OR 97232 |
| Oregon Corporations, Companies and Business Names | REFUGE BARBERSHOP INC | 4057 Ne Sandy Blvd, Portland, OR 97212 |
| System for Award Management (SAM) Entities | REFUGE BIOTECHNOLOGIES, INC. | 1505 Adams Dr Ste D, Menlo Park, CA 94025-1451 |
| Colorado Business Entities | Refuge Campus Ministry | 266 Zang St, Lakewood, CO 80228 |
| Street Address |
4321 TOMPKINS AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396936605 | Resource Enviroment for Underprivilaged Groups Enterprises | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2007-08-05 |
| 1699394940 | Geneva Morgan | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2020-04-15 |
| 1982189437 | Jonathan Haskins | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2018-10-01 |
| 1104328632 | Brittany Robertson | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2018-02-28 |
| 1750899332 | Page Martell | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2018-01-17 |
| 1245746239 | Marla Anderson | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2017-12-28 |
| 1851838940 | Kristen Marie Garcia | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2017-01-26 |
| 1093165359 | Anthony Patton | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2016-06-17 |
| 1013398981 | Lobart Totty | Marriage & Family Therapist | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2015-06-16 |
| 1326429580 | Latanya Ison | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2015-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1093345589 | Quest Programs, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5751 Adeline St, Oakland, CA 94608-2815 | 2020-01-23 |
| 1720218266 | Samuel Irving Taylor IIi | Residential Treatment Facility, Emotionally Disturbed Children | 581 63rd St, Oakland, CA 94609-1244 | 2009-07-17 |
| 1801088059 | Lincoln Child Center | Residential Treatment Facility, Emotionally Disturbed Children | 3524 Foothill Blvd Apt 9, Oakland, CA 94601-3644 | 2007-08-13 |
| 1952431462 | Tracy Scott-jefferson | Residential Treatment Facility, Emotionally Disturbed Children | 824 12th St, Oakland, CA 94607-3232 | 2007-03-06 |
| 1326173568 | Seneca Center | Residential Treatment Facility, Emotionally Disturbed Children | 2701 Ivy Dr, Apt. C, Oakland, CA 94606-2172 | 2007-02-21 |
| 1487187951 | Greater New Beginnings Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1625 Filbert St, Oakland, CA 94607-2890 | 2017-04-11 |
| 1932343951 | Refuge Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3906 Loma Vista Ave, Oakland, CA 94619-1426 | 2009-04-21 |
| Find all providers in OAKLAND | ||||
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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.