NORTH COUNTY SERENITY HOUSE,INC. (NPI# 1578746103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578746103 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTY SERENITY HOUSE,INC. |
| Practice Address |
240 S Hickory St Ste 210 Escondido CA 92025-4357 |
| Mailing Address |
130 S Fig St Escondido CA 92025-4401 |
| Practice Telephone | 7602334533 |
| Mailing Telephone | 7604155609 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | NORMA SUZANNE WOELK (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7607415098 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 01-980444 | CA | Residential Treatment Facilities |
| Street Address |
240 S HICKORY ST STE 210 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402908 | Ndllj Inc | Substance Abuse Rehabilitation Facility | 21734 Amble Dr, Escondido, CA 92029-4800 | 2018-06-25 |
| 1245766260 | Recovery Solutions LLC | Substance Abuse Rehabilitation Facility | 20710 Elfin Forest Rd, Escondido, CA 92029-3313 | 2017-05-11 |
| 1730535501 | Socal Detox, LLC | Substance Abuse Rehabilitation Facility | 20555 Fortuna Del Sur, Escondido, CA 92029-4507 | 2016-05-10 |
| 1902808744 | The Fellowship Center Alcohol Services Program, Inc. | Substance Abuse Rehabilitation Facility | 737 E Grand Ave, Escondido, CA 92025-4404 | 2005-08-11 |
| 1912440645 | Pure Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 19915 Fortuna Del Este, Escondido, CA 92029-5917 | 2016-11-29 |
| 1568818995 | Pamela Gauerke | Substance Abuse Rehabilitation Facility | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2016-05-04 |
| 1952761454 | Healthright 360 | Substance Abuse Rehabilitation Facility | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2016-02-26 |
| 1013041482 | Healthright 360 | Substance Abuse Rehabilitation Facility | 130 S Fig St, Escondido, CA 92025-4401 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.