BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY (NPI# 1407067846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407067846 |
| Entity Type | Organization |
| Organization Name | BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY |
| Other Organization Name | BOSS SHELTER NETWORK MAA |
| Practice Address |
258 W A St Hayward CA 94541-4850 |
| Mailing Address |
1918 University Ave Ste 2a Berkeley CA 94704-3263 |
| Practice Telephone | 5107325956 |
| Practice Fax Number | 5107325954 |
| Mailing Telephone | 5106491930 |
| Mailing Fax Number | 5106490627 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | DONALD IVY FRAZIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5106491935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 8134 | 01 |
| Other Name | Type Code |
|---|---|
| BOSS Shelter Network MAA | Other Name - Individual/Organization |
| South County Homeless Project | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780990994 | Building Opportunities for Self-sufficiency | Community/Behavioral Health | 2065 Kittredge St, Suite E, Berkeley, CA 94704-1404 | 2010-08-25 |
| 1497966840 | Building Opportunities for Self-sufficiency | Community/Behavioral Health | 711 Harrison St, Berkeley, CA 94710-1313 | 2007-05-25 |
| 1124423389 | Building Opportunities for Self-sufficiency | Case Management | 1931 Center St, Berkeley, CA 94704-1105 | 2014-10-30 |
| 1114322278 | Building Opportunities for Self-sufficiency | Case Management | 711 Harrison St, Berkeley, CA 94710-1313 | 2014-10-30 |
| 1548511538 | Building Opportunities for Self-sufficiency | Case Management | 2116 Broadway, Oakland, CA 94612-2310 | 2012-10-01 |
| 1346544996 | Building Opportunities for Self-sufficiency | Community/Behavioral Health | 521 W Grand Ave, Oakland, CA 94612-1649 | 2010-12-22 |
| 1649481060 | Building Opportunities for Self-sufficiency | Community/Behavioral Health | 2116 Broadway, Oakland, CA 94612-2310 | 2007-05-25 |
| Street Address |
258 W A ST |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265874390 | Angelia Johnson | Case Manager/Care Coordinator | 258 W A St, Hayward, CA 94541-4850 | 2013-07-17 |
| 1740542786 | Kristina Suzette Ervin-funk | Social Worker | 258 W A St, Hayward, CA 94541-4850 | 2012-06-14 |
| 1992980593 | Mark S. Hymel | Community/Behavioral Health | 258 W A St, Hayward, CA 94541-4850 | 2008-01-02 |
| 1629270368 | Angelique Justine Holmes | Case Manager/Care Coordinator | 258 W A St, Hayward, CA 94541-4850 | 2007-06-04 |
| 1528260684 | Carol Avery | Counselor | 258 W A St, Hayward, CA 94541-4850 | 2007-06-01 |
| 1932300555 | Calvin J Walker | Social Worker | 258 W A St, Hayward, CA 94541-4850 | 2007-05-30 |
| 1093916587 | Peter Granger | Counselor | 258 W A St, Hayward, CA 94541-4850 | 2007-05-30 |
| 1942401054 | Gregory Delano Evans | Case Manager/Care Coordinator | 258 W A St, Hayward, CA 94541-4850 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670031 | Richmond Area Multi-services, Inc. | Community/Behavioral Health | 22712 Foothill Blvd, Hayward, CA 94541-4208 | 2018-12-16 |
| 1841732062 | Stars, Inc. | Community/Behavioral Health | 18250 Bengal Ave, Hayward, CA 94541-2202 | 2016-11-07 |
| 1396287413 | Stars, Inc. | Community/Behavioral Health | 28027 Dickens Ave, Hayward, CA 94544-5639 | 2016-11-07 |
| 1831644335 | Seneca Family of Agencies | Community/Behavioral Health | 31410 Wheelon Ave, Hayward, CA 94544-7662 | 2016-08-25 |
| 1225583883 | Superior Counseling, LLC | Community/Behavioral Health | 10594 Main St, Hayward, WI 54843-6658 | 2016-08-23 |
| 1336599570 | Memory Daybyday | Community/Behavioral Health | 111 Jackson St, Hayward, CA 94544-1948 | 2016-06-19 |
| 1497104533 | Seneca Family of Agencies | Community/Behavioral Health | 28000 Calaroga Ave, Hayward, CA 94545-4600 | 2016-06-09 |
| 1992154603 | Hope Psychotherapy, Inc | Community/Behavioral Health | 1245 B St, Hayward, CA 94541-2915 | 2016-06-03 |
| 1417311234 | East Bay Agency for Children | Community/Behavioral Health | 520 Jefferson St, Bowman, Hayward, CA 94544-4126 | 2016-04-07 |
| 1508224486 | Stars, Inc. | Community/Behavioral Health | 17115 Meekland Ave, Hayward, CA 94541-1304 | 2016-02-05 |
| Find all providers in HAYWARD | ||||
Please comment or provide details below to improve the information on BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY.
| 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.