CHALLENGER (NPI# 1427125574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427125574 |
| Entity Type | Organization |
| Organization Name | CHALLENGER |
| Practice Address |
5300 W Avenue I Lancaster CA 93536-8312 |
| Practice Telephone | 6619404055 |
| Practice Fax Number | 6619404089 |
| Mailing Telephone | 6619404055 |
| Mailing Fax Number | 6619404089 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CARLOS R FARGAS (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 6619404055 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 18176 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538237946 | Challenger | Community Based Residential Treatment Facility, Mental Illness | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2006-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CHALLENGER & SONS CONSTRUCTION, LLC | 19400 S Fischers Mill Rd, Oregon City, OR 97045 |
| Oregon Corporations, Companies and Business Names | CHALLENGER & SONS INC | 19400 S Fischers Mill Road, Oregon City, OR 97045 |
| Washington State Corporations | CHALLENGER 1 LLC | 8320 Ne Highway 99, Vancouver, WA 98665-8819 |
| New York State Corporations | CHALLENGER 5130 LLC | 13312 Lakeside Park Road, Waterport, Ny 14571 |
| New York State Corporations | CHALLENGER 650, LLC | 129 Front Street, Mineola, Ny 11501 |
| New York State Corporations | CHALLENGER ABSTRACT LLC | 305 Broadway, 14th Fl., New York, New York 10007 |
| Colorado Business Entities | Challenger Acquisition, LLC | 1770 Chestnut Pl Apt 1004, Denver, CO 80202 |
| Washington State Corporations | CHALLENGER ADMINISTRATION, L.L.C. | 2365 Carillon Pt, Kirkland, WA 98033-7445 |
| New York State Corporations | CHALLENGER AG LLC | 510 Madison Ave, Suite 1400, New York, Ny 10022 |
| Colorado Business Entities | Challenger Aircraft LLC | 15793 Degaulle Cir, Brighton, CO 80603 |
| Street Address |
5300 W AVENUE I |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306850169 | Los Angeles County Department of Mental Health | Clinic/Center | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2006-07-28 |
| 1144698564 | California State University Northridge | Community Based Residential Treatment Facility, Mental Illness | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2015-09-02 |
| 1114320611 | Antwain Wilson | Counselor | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2014-09-29 |
| 1437497575 | Child and Family Center | Community/Behavioral Health | 5300 W Avenue I, Lancaster, CA 93536 | 2013-01-24 |
| 1952647604 | Linet Khodabakhsh | Social Worker | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2012-12-28 |
| 1437415585 | Sibichan Varghese | Social Worker | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2012-04-03 |
| 1881965077 | Sheretta Deion Thomas | Counselor | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2012-01-19 |
| 1427353374 | Jennifer Boehmke | Marriage & Family Therapist | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2011-01-24 |
| 1982908505 | Autumn Nicole Scott | Counselor | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2010-12-23 |
| 1346542156 | Natalie Madriz | Social Worker | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2010-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| 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 |
|---|---|---|---|---|
| 1639554686 | Robicheaux Haven | Community Based Residential Treatment Facility, Mental Illness | 2605 Princeton Dr, Lancaster, TX 75134-2445 | 2015-07-20 |
| 1972872836 | Metrocare | Community Based Residential Treatment Facility, Mental Illness | 200 Greene Rd., Lancaster, TX 75146-1004 | 2011-12-22 |
| 1144698564 | California State University Northridge | Community Based Residential Treatment Facility, Mental Illness | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2015-09-02 |
| 1881757805 | Challenger Youth Memorial Center | Community Based Residential Treatment Facility, Mental Illness | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2006-12-19 |
| 1538237946 | Challenger | Community Based Residential Treatment Facility, Mental Illness | 5300 W Avenue I, Lancaster, CA 93536-8312 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHALLENGER.
| 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.