TELECARE CORPORATION (NPI# 1407232564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407232564 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Other Organization Name | TELECARE JAY MAHLER RECOVERY CENTER |
| Practice Address |
15430 Foothill Blvd San Leandro CA 94578-1009 |
| Mailing Address |
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 5103573562 |
| Practice Fax Number | 5103573614 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MARSHALL LANGFELD (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| TELECARE JAY MAHLER RECOVERY CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1932754033 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 7821 English Hills Rd, Vacaville, CA 95688-9543 | 2019-08-06 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1609340769 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 12956 Alta Mesa Rd, Herald, CA 95638-8309 | 2019-01-11 |
| 1952880825 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 24 W Cypress Pl, Oakley, CA 94561-2258 | 2018-08-10 |
| 1619476892 | Telecare Corporation | Psychiatric Residential Treatment Facility | 298 Bernal Rd Ste A, San Jose, CA 95119-1809 | 2018-02-02 |
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELECARE CORPORATION | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 |
| Colorado Business Entities | Telecare Corporation | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501 |
| Street Address |
15430 FOOTHILL BLVD |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003454810 | Emilee Ann Dunlop | Marriage & Family Therapist | 15430 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-12-12 |
| 1740844356 | Ashraf Ziyar | Counselor | 15430 Foothill Blvd, San Leandro, CA 94578-1009 | 2019-04-29 |
| 1225576549 | Telecare Copration | Community Based Residential Treatment Facility, Mental Illness | 15430 Foothill Blvd, San Leandro, AR 94578 | 2017-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003126251 | Anka Behavioral Health Incorporated | Psychiatric Residential Treatment Facility | 740 Hollyhock Dr, San Leandro, CA 94578 | 2010-10-20 |
| 1477113751 | National Psychiatric Care and Rehabilitation Services | Psychiatric Residential Treatment Facility | 740 Hollyhock Dr, San Leandro, CA 94578-3819 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172720 | Meadows | Psychiatric Residential Treatment Facility | 6395 Meadows Ct, Malibu, CA 90265-1706 | 2020-10-20 |
| 1912506064 | Point Dume | Psychiatric Residential Treatment Facility | 29149 Cliffside Dr, Malibu, CA 90265-4215 | 2020-10-20 |
| 1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
| 1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
| 1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
| 1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.