COAST VALLEY WORSHIP CENTER (NPI# 1598217416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598217416 |
| Entity Type | Organization |
| Organization Name | COAST VALLEY WORSHIP CENTER |
| Other Organization Name | COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER |
| Practice Address |
300 W Willow Ave Lompoc CA 93436-7724 |
| Mailing Address |
1414 S Miller St Ste 10 and 11 Santa Maria CA 93454-6923 |
| Practice Telephone | 8057357525 |
| Practice Fax Number | 8057370524 |
| Mailing Telephone | 8057391512 |
| Mailing Fax Number | 8053492855 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MATTHEW HAMLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8057391512 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Coast Valley Substance Abuse Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184080574 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 830 W Church St, Santa Maria, CA 93458-4222 | 2016-01-14 |
| 1548383110 | Coast Valley Worship Center | Clinic/Center | 133 N F St, Lompoc, CA 93436-6033 | 2007-04-09 |
| 1336266386 | Coast Valley Worship Center | Case Management | 1125 E Clark Ave, Ste A2, Santa Maria, CA 93455-5111 | 2007-03-23 |
| 1770035644 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 133 N F St, Ste A, Lompoc, CA 93436-6033 | 2016-10-26 |
| 1104200773 | Coast Valley Worship Center | Clinic/Center | 1414 S Miller St, Ste 10 and 11, Santa Maria, CA 93454-6923 | 2015-07-14 |
| 1568845543 | Coast Valley Worship Center | Clinic/Center | 1133 N H St, Ste F, Lompoc, CA 93436-3368 | 2015-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COAST VALLEY WORSHIP CENTER | 1414 S Miller St Ste 11, Santa Maria, CA 93455-6916 |
| Street Address |
300 W WILLOW AVE |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-7724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| 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 |
|---|---|---|---|---|
| 1962058297 | Good Samaritan Shelter | Substance Abuse Rehabilitation Facility | 608 W Ocean Ave, Lompoc, CA 93436-6630 | 2019-08-13 |
| 1609227636 | Ladies Recovery 4 Life | Substance Abuse Rehabilitation Facility | 115 N D St, Street, Unit A, Lompoc, CA 93436-6911 | 2016-06-30 |
| 1528218989 | Good Samaritan Shelter, Inc. | Substance Abuse Rehabilitation Facility | 113 South M Street, Lompoc, CA 93436-6630 | 2008-09-23 |
| 1801929500 | New Leaf | Substance Abuse Rehabilitation Facility | 3492 Via Barba, Lompoc, CA 93436-2142 | 2007-03-13 |
| 1770035644 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 133 N F St, Ste A, Lompoc, CA 93436-6033 | 2016-10-26 |
| 1114176831 | Good Samaritan Shelter, Inc. | Substance Abuse Rehabilitation Facility | 604 W Ocean Ave, Lompoc, CA 93436-6630 | 2008-09-18 |
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| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 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.