CONTRA COSTA COUNTY (NPI# 1467966259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467966259 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | BROOKSIDE SHELTER |
| Practice Address |
847 Brookside Dr Ste C Richmond CA 94801-1314 |
| Mailing Address |
50 Douglas Dr Martinez CA 94553-4098 |
| Practice Telephone | 9259575429 |
| Mailing Telephone | 9259575429 |
| Mailing Fax Number | 9259575401 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | ROBERT H DECESARE (FISCAL MANAGER) |
| Authorized Official Telephone | 9259575429 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONTRA COSTA COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Brookside Shelter | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062745 | Contra Costa County | Clinic/Center | 1160 Brickyard Cove Rd Ste 111, Point Richmond, CA 94801-4112 | 2019-06-14 |
| 1558829820 | Contra Costa County | Clinic/Center | 395 Taylor Blvd Ste 200, Pleasant Hill, CA 94523-2290 | 2019-03-06 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| 1659885440 | Contra Costa County | Respite Care | 2047d Arnold Industrial Way, Concord, CA 94520-5342 | 2017-12-01 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1447602693 | Contra Costa County | Early Intervention Provider Agency | 4427 Horseshoe Cir, Antioch, CA 94531-8136 | 2016-07-11 |
| 1316339609 | Contra Costa County | Ambulance | 2010 Geary Rd, Pleasant Hill, CA 94523-4619 | 2015-02-24 |
| 1205152782 | Contra Costa County | Clinic/Center | 2425 Bisso Lane, Suite 100, Concord, CA 94520-4817 | 2010-04-09 |
| 1336214642 | Contra Costa County | Clinic/Center | 1860 Silverwood Dr, Concord, CA 94519-1351 | 2006-11-21 |
| 1306916762 | Contra Costa County | Clinic/Center | 100 Glacier Dr, Martinez, CA 94553-4824 | 2006-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OF HEALTH SERVICES HAZARDO | 4585 Pacheco Blvd, Martinez, CA 94553-2226 |
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OFFICE OF EDUCATION | 77 Santa Barbara Rd, Pleasant Hill, CA 94523-4215 |
| Street Address |
847 BROOKSIDE DR STE C |
| City | RICHMOND |
| State | CA |
| Zip Code | 94801-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815082 | Denise Carey | Social Worker | 900 Nevin, Richmond, CA 94801 | 2018-06-14 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1780100479 | Daniel Chen | Dentist | 520 Seacliff Pl, Richmond, CA 94801 | 2017-08-15 |
| 1790043347 | Kanwal Ambar Merchant | Pediatrics | 150 Harbor Way, Richmond, CA 94801 | 2012-05-01 |
| 1114182607 | Christopher Gibney | Acupuncturist | 723 Western Drive, Richmond, CA 94801 | 2008-07-23 |
| 1134320732 | Beverly Jo Skipper | Technician/Technologist | 322 Harbour Way, Suite 2, Richmond, CA 94801 | 2007-05-30 |
| 1306058383 | Judy S. Chin | Acupuncturist | 139 W. Richmond Ave., Suite 7, Pt. Richmond, CA 94801 | 2007-05-04 |
| 1720154636 | Marianne Philippek | Nurse Practitioner | 901 Nevin Avenue, Richmond, CA 94801 | 2006-11-24 |
| 1578645511 | Bridget Grace Moran | Registered Nurse | 901nevin Ave, Building C, 2nd Floor, Richmond, CA 94801 | 2006-10-19 |
| 1891875654 | Phyllis W. Zisman | Pharmacist | Kaiser Foundation Hospital, 901 Nevin Ave., Richmond, CA 94801 | 2006-10-16 |
| Find all providers in zip 94801 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526944 | Family House, Inc. | Lodging | 540 Mission Bay Blvd N, San Francisco, CA 94158-2382 | 2020-10-22 |
| 1548887755 | Comfortmavens Group, Inc. | Lodging | 2307 W 231st St, Torrance, CA 90501-5214 | 2020-07-03 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1013499912 | California Manor Guest Home | Lodging | 8536 California Ave, Riverside, CA 92504-2854 | 2018-09-06 |
| 1235610551 | Lilibeth Swanson | Lodging | 720 N Linden Ave, Rialto, CA 92376-4635 | 2018-08-24 |
| 1881188662 | Vermontcare Center | Lodging | 1316 S Vermont, Los Angeles, CA 90006-4502 | 2018-06-15 |
| 1871097154 | Love Home Inc. | Lodging | 1731 W 58th St, Los Angeles, CA 90062-2739 | 2018-03-21 |
| 1093219545 | Love Home Inc. | Lodging | 1729 W 58th St, Los Angeles, CA 90062-2739 | 2018-03-20 |
| 1730627050 | Integrated Elder Care Inc. | Lodging | 5850 Manzanita Ave., Angelus Oaks, CA 92305 | 2017-02-07 |
| 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.