TELECARE SOAR (NPI# 1356684617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356684617 |
| Entity Type | Organization |
| Organization Name | TELECARE SOAR |
| Practice Address |
900 Fulton Ave Ste 205 Sacramento CA 95825-4517 |
| Practice Telephone | 9164843570 |
| Mailing Telephone | 9164843570 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | ARIANA KELLY GILLESPIE (CASE MANAGER) |
| Authorized Official Telephone | 9164843570 |
| Authorized Official Credential | BA PSYCHOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| Street Address |
900 FULTON AVE STE 205 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316074107 | Marisela Alcantar Guzman | Counselor | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2007-02-27 |
| 1942828058 | Alacia Henry | Licensed Vocational Nurse | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2020-07-07 |
| 1629617253 | Anna Carlisle Reeves | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-12-30 |
| 1326687278 | Carly Nicole Kemp | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-12-24 |
| 1578101903 | Daniel Mathew Wright | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-12-17 |
| 1376198986 | Mayalia Barries | Counselor | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-08-09 |
| 1891348611 | Tamra Kashay Lewter | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-07-21 |
| 1124684204 | Danielle Nicole Davis | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-05-14 |
| 1750840641 | Ashley Marie Montgomery | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-03-19 |
| 1043778715 | Casie Romine | Licensed Vocational Nurse | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178493 | Compassion Valley LLC | Community Based Residential Treatment Facility, Mental Illness | 6110 Garfield Ave, Sacramento, CA 95841-2009 | 2019-11-12 |
| 1376199232 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9847 Folsom Blvd, Sacramento, CA 95827-1328 | 2019-08-15 |
| 1497926505 | Gifted Healing Center Inc | Community Based Residential Treatment Facility, Mental Illness | 2251 Florin Rd Ste 133, 7654 22nd Street House of Umoja/rafa Porject, Sacramento, CA 95822-4491 | 2008-03-17 |
| 1033318878 | Turning Point Community Programs | Community Based Residential Treatment Facility, Mental Illness | 5550 Meadow Park Way, Sacramento, CA 95823-5117 | 2007-07-12 |
| 1689876955 | Transit and Living & Community Support | Community Based Residential Treatment Facility, Mental Illness | 1816 O St, Sacramento, CA 95814-6194 | 2007-05-31 |
| 1548389364 | St. Therese's Haven | Community Based Residential Treatment Facility, Mental Illness | 7940 Golden Field Way, Sacramento, CA 95823-5209 | 2007-03-29 |
| 1164540381 | G Street House Board & Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 1700 G St, Sacramento, CA 95814-2119 | 2007-03-26 |
| 1922176981 | Turning Point Crisis Residential Program | Community Based Residential Treatment Facility, Mental Illness | 4801 34th St, Sacramento, CA 95820-4849 | 2006-11-30 |
| 1720165368 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4256 Fruitridge Rd, Sacramento, CA 95820-5047 | 2006-11-01 |
| 1821105115 | Famille/famille, Inc | Community Based Residential Treatment Facility, Mental Illness | 6431 Hogan Dr, Sacramento, CA 95822-3840 | 2006-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.