ANKA BEHAVIORAL HEALTH, INC. (NPI# 1578603247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578603247 |
| Entity Type | Organization |
| Organization Name | ANKA BEHAVIORAL HEALTH, INC. |
| Other Organization Name | HILLMONT HOUSE |
| Practice Address |
1750 S Lewis Rd Camarillo CA 93012 |
| Mailing Address |
3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 |
| Practice Telephone | 8057659050 |
| Practice Fax Number | 8057659073 |
| Mailing Telephone | 9258254700 |
| Mailing Fax Number | 9258252610 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | DR. NZINGA HARRISON (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9258254700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ANKA BEHAVIORAL HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | 02015028 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Hillmont House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1962828269 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2507 Evelyn Ave, Rosemead, CA 91770 | 2014-03-11 |
| 1598181802 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 136 N Taylor Ave, Montebello, CA 90640 | 2014-03-11 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1730505348 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2120 N Maple St, Burbank, CA 91505 | 2014-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Anka Behavioral Health, Incorporated | 1850 Gateway Boulevard, Suite 900 , Concord, CA 94520 |
| Virginia Business Entity | Anka Behavioral Health, Incorporated | 1850 GATEWAY BLVD. SUITE 900, CONCORD, CA 94520 |
| Street Address |
1750 S LEWIS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124579 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2006-10-31 |
| 1871107078 | Cosbi Katrina Defensor Villesis | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-04 |
| 1376190835 | Julia Rebecca Carrington | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2019-08-20 |
| 1124671573 | Randolph Ramirez Jr. | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2019-07-23 |
| 1992275515 | Michael Corrigan Mishou | Registered Nurse | 1750 S Lewis Rd, Camarillo, CA 93012 | 2018-11-26 |
| 1417312513 | Homer Pascua | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-12-16 |
| 1912375437 | Brianna Medley | Counselor | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-09-15 |
| 1043692957 | Elaine Hernandez Doctor | Counselor | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-06-26 |
| 1003224320 | Damiano Impastato Jr. | Student in an Organized Health Care Education/Training Program | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2014-07-30 |
| 1386057404 | Rafael Stoneman | Counselor | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| 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 |
|---|---|---|---|---|
| 1083241756 | Ashley Ribeiro | Community/Behavioral Health | 1601 Carmen Dr Ste 201b, Camarillo, CA 93010-3105 | 2020-03-24 |
| 1811358914 | Ventura County Behavioral Health Alcohol & Drug | Community/Behavioral Health | 545 Airport Way, Camarillo, CA 93010-8581 | 2016-03-16 |
| 1629374699 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 1500 Temple Ave, Camarillo, CA 93010-3602 | 2011-02-08 |
| 1457657421 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 2304 Antonio Ave, Camarillo, CA 93010-1415 | 2011-02-08 |
| 1548571441 | Maxim Staffing Solutions | Community/Behavioral Health | 2132 Dunnigan St, Camarillo, CA 93010-3232 | 2010-06-24 |
| 1851539290 | County of Ventura-hca-bh-adp Oxnard Center | Community/Behavioral Health | 200 Horizon Way, Camarillo, CA 93010-8596 | 2009-01-22 |
| 1982814562 | United Parents for Families In Crisis | Community/Behavioral Health | 391 S Dawson Dr, Suite 1a, Camarillo, CA 93012-8091 | 2007-05-23 |
| 1497961684 | Interface Children Family Services | Community/Behavioral Health | 4001 Mission Oaks Blvd., Suite I, Camarillo, CA 93012-5121 | 2007-05-15 |
| 1972623007 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Avenue, Suite 215, Camarillo, CA 93010-5914 | 2007-03-30 |
| 1265991897 | Turning Point Psychology Center, Inc. | Community/Behavioral Health | 360 Mobil Ave Ste 102k, Camarillo, CA 93010-6356 | 2019-03-13 |
| Find all providers in CAMARILLO | ||||
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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.