TELECARE CORPORATION (NPI# 1497099915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497099915 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Other Organization Name | TELECARE SAN JOAQUIN SHORT-TERM CRISIS RESIDENTIAL SERVICES |
| Practice Address |
5634 Jeremy Way Stockton CA 95212-2867 |
| Mailing Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 |
| Practice Telephone | 2098884969 |
| Practice Fax Number | 2098885816 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | MARSHALL LANGFELD (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| TELECARE SAN JOAQUIN SHORT-TERM CRISIS RESIDENTIAL SERVICES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1932754033 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 7821 English Hills Rd, Vacaville, CA 95688-9543 | 2019-08-06 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1609340769 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 12956 Alta Mesa Rd, Herald, CA 95638-8309 | 2019-01-11 |
| 1952880825 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 24 W Cypress Pl, Oakley, CA 94561-2258 | 2018-08-10 |
| 1619476892 | Telecare Corporation | Psychiatric Residential Treatment Facility | 298 Bernal Rd Ste A, San Jose, CA 95119-1809 | 2018-02-02 |
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELECARE CORPORATION | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 |
| Colorado Business Entities | Telecare Corporation | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501 |
| Street Address |
5634 JEREMY WAY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447620778 | Maritza Corona | Specialist | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2015-09-29 |
| 1104293505 | Dina Lay | Social Worker | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2015-09-01 |
| 1073950358 | Noel Huante | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-05-28 |
| 1710323423 | John Benevento | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-05-21 |
| 1568808756 | Brittany Taylor | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-05-15 |
| 1083058903 | Traci L Correia | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-04-22 |
| 1699017798 | Danelle Lynn Smith | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-03-27 |
| 1265773436 | Donna Miles | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-03-12 |
| 1629319355 | Brandi Jones | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-03-05 |
| 1083955710 | Les Anthony II | Case Manager/Care Coordinator | 5634 Jeremy Way, Stockton, CA 95212-2867 | 2013-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172720 | Meadows | Psychiatric Residential Treatment Facility | 6395 Meadows Ct, Malibu, CA 90265-1706 | 2020-10-20 |
| 1912506064 | Point Dume | Psychiatric Residential Treatment Facility | 29149 Cliffside Dr, Malibu, CA 90265-4215 | 2020-10-20 |
| 1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
| 1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
| 1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
| 1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TELECARE CORPORATION.
| 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.