INCLUSIVE HEARTS - ABILITY DEVELOPMENT CENTER (NPI# 1417429507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417429507 |
Entity Type | Organization |
Organization Name | INCLUSIVE HEARTS - ABILITY DEVELOPMENT CENTER |
Practice Address |
96 Rosewood Cir Madera CA 93637-2675 |
Mailing Address |
Po Box 577 Madera CA 93639-0577 |
Practice Telephone | 5593952459 |
Mailing Telephone | 5593952459 |
Enumeration Date | 2018-12-30 |
Last Update Date | 2018-12-30 |
Authorized Official Name | JORDYN LEASURE (OWNER) |
Authorized Official Telephone | 5593952459 |
Authorized Official Credential | BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
96 ROSEWOOD CIR |
City | MADERA |
State | CA |
Zip Code | 93637-2675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
Find all providers in zip 93637 |
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 |
---|---|---|---|---|
1821410796 | Kings View | Community/Behavioral Health | 125 S D St, Suite 101, Madera, CA 93638-3623 | 2014-01-13 |
1902160245 | Dunamisinc.group Home | Community/Behavioral Health | 1200 Maple St Ste C, Madera, CA 93637-6330 | 2012-07-02 |
1609248483 | Madera County Behavioral Health | Community/Behavioral Health | 117 N R St, Suite 101, Madera, CA 93637-4465 | 2015-10-20 |
1386025971 | County of Madera | Community/Behavioral Health | 117 N R St, Madera, CA 93637-4465 | 2015-06-09 |
1245545409 | Madera County | Community/Behavioral Health | 209 E 7th St, Madera, CA 93638-3780 | 2010-08-12 |
1437464690 | County of Madera | Community/Behavioral Health | 209 E 7th St, Madera, CA 93638-3780 | 2010-08-12 |
1174838338 | County of Madera | Community/Behavioral Health | 209 E 7th St, Madera, CA 93638-3780 | 2010-08-12 |
1336454594 | County of Madera | Community/Behavioral Health | 209 E 7th St, Madera, CA 93638-3780 | 2010-08-12 |
1073828232 | County of Madera | Community/Behavioral Health | 209 E 7th St, Madera, CA 93638-3780 | 2010-08-12 |
1952588337 | Madera County Behavioral Health Services | Community/Behavioral Health | 14277 Road 28, Madera, CA 93638-5715 | 2008-01-28 |
Find all providers in MADERA |
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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.