TRACIE ANN BRATCHER (NPI# 1447404843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447404843 |
| Entity Type | Organization |
| Organization Name | TRACIE ANN BRATCHER |
| Practice Address |
8615 Lakeview Ave Riverside CA 92509-5915 |
| Practice Telephone | 9516812259 |
| Practice Fax Number | 9516812259 |
| Mailing Telephone | 9516812259 |
| Mailing Fax Number | 9516812259 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | MRS. TRACIE ANN BRATCHER (LVN/CARE GIVER) |
| Authorized Official Telephone | 9516812259 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
8615 LAKEVIEW AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1194197392 | Arlington Gardens Care Center | Custodial Care Facility | 3688 Nye Ave, Riverside, CA 92505-1818 | 2015-10-27 |
| 1972901130 | Golden Years | Custodial Care Facility | 48a Hubbard Rd, Riverside, WA 98849-9650 | 2014-12-19 |
| 1205174802 | Ability Pathways Inc | Custodial Care Facility | 5290 Jones Ave, Riverside, CA 92505-1306 | 2013-01-17 |
| 1538307400 | Grand Enterprise Inc. | Custodial Care Facility | 8595 Philbin Ave, Riverside, CA 92503-1834 | 2009-01-29 |
| 1093188492 | The Villa Health Care Center | Custodial Care Facility | 8965 Magnolia Ave, Riverside, CA 92503-4432 | 2015-11-06 |
| 1508238726 | The Grove Care and Wellness Center | Custodial Care Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2015-10-27 |
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| 1891395547 | Accuro Homes II | Custodial Care Facility | 13172 Early Crimson St, Eastvale, CA 92880-4609 | 2020-10-30 |
| 1912505868 | Majestic Senior Living Inc. | Custodial Care Facility | 25141 Highspring Ave, Newhall, CA 91321-3415 | 2020-10-13 |
| 1003413873 | Aury Mcdaniel | Custodial Care Facility | 1068 Camino Miel, Chula Vista, CA 91910-8712 | 2020-10-05 |
| 1407462104 | Good Samaritan Healing Center LLC | Custodial Care Facility | 229 S Chester Ave, Bakersfield, CA 93304-3648 | 2020-09-17 |
| 1245844174 | Robert Alexander Risinger | Custodial Care Facility | 3002 Freeborn St, Duarte, CA 91010-1507 | 2020-09-08 |
| 1720690217 | D&c Angels Home Care LLC | Custodial Care Facility | 1859 Shedden Dr, Loma Linda, CA 92354-1794 | 2020-08-18 |
| 1104464163 | Arveah's Care Homes, LLC | Custodial Care Facility | 45 E Ramsey Dr, Mountain House, CA 95391-8813 | 2019-12-20 |
| 1699310425 | Attentive Senior Care 11, LLC | Custodial Care Facility | 6149 E Lowe Ave, Fresno, CA 93727-5652 | 2019-11-15 |
| 1568003176 | Family First Residential Home | Custodial Care Facility | 5389 N Angus St, Fresno, CA 93710-7014 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
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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.