FORT HELP, LLC (NPI# 1417214727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417214727 |
Entity Type | Organization |
Organization Name | FORT HELP, LLC |
Other Organization Name | LIFELINE TREATMENT SERVICES, INC. |
Practice Address |
9442 International Blvd Oakland CA 94603-1444 |
Mailing Address |
26460 Summit Cir Santa Clarita CA 91350-2991 |
Practice Telephone | 5107778448 |
Practice Fax Number | 5107279761 |
Mailing Telephone | 6612546630 |
Mailing Fax Number | 6612546644 |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |
Authorized Official Name | STAN SHARMA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6612546630 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
01-95 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Lifeline Treatment Services, Inc. | Doing Business As Name - Organization |
Street Address |
9442 INTERNATIONAL BLVD |
City | OAKLAND |
State | CA |
Zip Code | 94603-1444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346456852 | Willie Macarthur Collins | Physician Assistant | 9442 International Blvd, Oakland, CA 94603-1444 | 2007-05-14 |
1649703968 | Phylisa Mccoy | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2017-04-04 |
1861925281 | Fatema Jackson | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2017-04-04 |
1568908911 | Jacqueline Bullock | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2017-01-10 |
1417491341 | Christopher Aranzaso | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-12-12 |
1235673211 | Clifton Jones Sr. | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-12-12 |
1700320637 | Araceli Piceno | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-12-12 |
1174975122 | Chasity Quiliza | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
1063864015 | Keilani Deal | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
1417309469 | Decresa Griffie | Licensed Vocational Nurse | 9442 International Blvd, Oakland, CA 94603-1444 | 2016-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
1508148685 | Kimberly Alston-stepnitz | Counselor | 9925 International Blvd, Oakland, CA 94603 | 2011-09-14 |
1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
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Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689890758 | Lifeline Treatment Services Inc | Clinic/Center | 10429 International Blvd, Oakland, CA 94603-3221 | 2007-04-17 |
1922364413 | Lifeline Treatment Services, Inc | Clinic/Center | 9442 International Blvd, Oakland, CA 94603-1444 | 2012-04-09 |
1598060683 | Lifeline Treatment Services | Clinic/Center | 9442 International Blvd, Oakland, CA 94603-1444 | 2011-01-20 |
1093976417 | Baart Behavioral Health Services | Clinic/Center | 1124 International Blvd, Oakland, CA 94606-4331 | 2008-06-18 |
1205035425 | Addiction Research and Treatment, Inc | Clinic/Center | 1124 International Blvd, Oakland, CA 94606-4331 | 2007-07-17 |
1912106139 | Baart Behavioral Health Services, Inc | Clinic/Center | 1124 International Blvd, Oakland, CA 94606-4331 | 2007-07-17 |
1720204696 | Humanistic Alternatives To Addiction Research and Treatment, Inc. | Clinic/Center | 10850 Macarthur Blvd, Oakland, CA 94605-5266 | 2007-04-18 |
1043331630 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2007-04-02 |
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1083224141 | Aegis Treatment Centers, LLC | Clinic/Center | 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 | 2020-08-04 |
1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
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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.