ABODE SERVICES (NPI# 1487108205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487108205 |
| Entity Type | Organization |
| Organization Name | ABODE SERVICES |
| Practice Address |
4075 Papazian Way Ste 102 Fremont CA 94538-4380 |
| Mailing Address |
40849 Fremont Blvd Fremont CA 94538-4306 |
| Practice Telephone | 5102701150 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | LOUIS CHICOINE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5106577409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3607 Main St, Suite A, Fremont, CA 945384390 | 5106577409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830321 | Abode Services | Case Management | 2450 Senter Rd, San Jose, CA 95111-1040 | 2019-03-13 |
| 1194208504 | Abode Services | Case Management | 433 Hegenberger Rd Ste 220, Oakland, CA 94621-1448 | 2018-09-11 |
| 1316494750 | Abode Services | Community/Behavioral Health | 158 E Saint John St, San Jose, CA 95112-5581 | 2016-09-01 |
| 1215381942 | Abode Services | Case Management | 620 E Maude Ave, Sunnyvale, CA 94085-3951 | 2016-04-19 |
| 1639531767 | Abode Services | Case Management | 1700 Broadway Ste 200, Oakland, CA 94612-2141 | 2016-03-28 |
| 1902292501 | Abode Services | Case Management | 1156 N 4th St, San Jose, CA 95112-4900 | 2015-04-09 |
| 1356737951 | Abode Services | Case Management | 701 Curtner Ave, San Jose, CA 95125-2037 | 2015-04-09 |
| 1447650551 | Abode Services | Case Management | 481 Valley Way, Milpitas, CA 95035 | 2014-08-26 |
| 1225396310 | Abode Services | Case Management | 1061 A St, Hayward, CA 94541-4105 | 2012-04-26 |
| 1386270718 | Abode Services | Community/Behavioral Health | 433 Hegenberger Rd Ste 220, Oakland, CA 94621-1448 | 2020-03-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ABODE SERVICES | 40849 Fremont Blvd, Fremont, CA 94538-4306 |
| Street Address |
4075 PAPAZIAN WAY STE 102 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-4380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776495 | Leslie Eleen Lutge | Case Manager/Care Coordinator | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2019-08-21 |
| 1538711031 | Breanna Cox | Social Worker | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2019-07-15 |
| 1730651415 | Jerry Kith | Social Worker | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2018-12-19 |
| 1285112524 | Abode Services | Community/Behavioral Health | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1578125076 | The Alliance for Community Wellness | Community/Behavioral Health | 39155 Liberty St Ste F600, Fremont, CA 94538-1513 | 2019-07-03 |
| 1346785722 | Full Potential. Inc | Community/Behavioral Health | 700 W Toledo St, P.o 187, Fremont, IN 46737-7606 | 2016-12-21 |
| 1386195337 | City of Fremont Youth and Family Services | Community/Behavioral Health | 37141 2nd St, Fremont, CA 94536-2835 | 2016-10-14 |
| 1114386414 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37471 Glenmoor Dr, Fremont, CA 94536-5731 | 2016-02-15 |
| 1295104818 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37469 Glenmoor Dr, 37471 Glenmoor Drive, Fremont, CA 94536-5731 | 2015-09-24 |
| 1801277223 | City of Fremont | Community/Behavioral Health | 41717 Palm Ave, Fremont, CA 94539-4722 | 2015-06-11 |
| 1558742973 | City of Fremont | Community/Behavioral Health | 37944 Farwell Dr, Fremont, CA 94536-7008 | 2015-06-11 |
| 1194106518 | City of Fremont | Community/Behavioral Health | 41365 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1023499449 | City of Fremont | Community/Behavioral Health | 41399 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1003297425 | City of Fremont | Community/Behavioral Health | 47100 Fernald St, Fremont, CA 94539-7005 | 2015-06-11 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on ABODE SERVICES.
| 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.