CA YA SERVICES LLC


Address: 12822 Periwinkle Dr, North Tustin, CA 92705-1341
Phone: 8669865037

CA YA SERVICES LLC (NPI# 1497317291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497317291
Entity Type Organization
Organization Name CA YA SERVICES LLC
Other Organization Name NEWPORT INSTITUTE-PERIWINKLE
Practice Address 12822 Periwinkle Dr
North Tustin
CA 92705-1341
Mailing Address 19200 Von Karman Ave Ste 500
Irvine
CA 92612-8513
Practice Telephone 8669865037
Mailing Telephone 7142025166
Mailing Fax Number 8447218190
Enumeration Date 2019-07-01
Last Update Date 2019-09-24
Authorized Official Name JAMISON MONROE (FOUNDER/EXECUTIVE CHAIRMAN)
Authorized Official Telephone 9498870242
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Newport Institute-Periwinkle Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982246815 Ca Ya Services LLC Substance Abuse Rehabilitation Facility 285 Margarita Dr, San Rafael, CA 94901-2329 2019-10-11
1508428178 Ca Ya Services LLC Substance Abuse Rehabilitation Facility 10022 Miramar Cir, Santa Ana, CA 92705-1502 2019-07-03
1124680921 Ca Ya Services LLC Substance Abuse Rehabilitation Facility 9881 Deerhaven Dr, Santa Ana, CA 92705-7501 2019-07-01

Office Location

Street Address 12822 PERIWINKLE DR
City NORTH TUSTIN
State CA
Zip Code 92705-1341

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952919763 John G. Alevizos, D.o., A Professional Medical Corporation Preventive Medicine 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 2020-07-17
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1588214688 Cindy Mejia Behavior Technician 505 N. Tustin Ave., #152, Santa Ana, CA 92705 2019-09-19
1588210504 Jennifer Ang Lim-quevedo Nurse Practitioner 18362 Whitney Dr, Santa Ana, CA 92705 2019-08-15
1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
1972069631 Amy Marie Elit Nurse Practitioner 1751 E Harry Ave, Santa Ana, CA 92705 2019-02-18
1386118180 Unified Behavioral Health, LLC Substance Abuse Rehabilitation Facility 1218 W Santa Ana Blvd, Santa Ana, CA 92705 2019-01-15
1952884736 Javier Perales Social Worker 1652 Windsor Ln, Santa Ana, CA 92705 2018-09-08
1073009700 Eva E Kuncewicki Marriage & Family Therapist 1001 S Grand Ave # B, Santa Ana, CA 92705 2018-07-05
1487149886 Nimbus Medtransport Inc. Non-emergency Medical Transport (VAN) 2112 E 4th St Ste 235, Santa Ana, CA 92705 2018-06-27
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

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

Providers in the same taxonomy and state

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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
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Competitor

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City NORTH TUSTIN
Zip Code 92705

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Dataset Information

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.

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