TELECARE CORPORATION (NPI# 1609340769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609340769 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Practice Address |
12956 Alta Mesa Rd Herald CA 95638-8309 |
| Mailing Address |
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 |
| Practice Telephone | 5103377950 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| TELECARE HERALD HOUSE | Doing Business As Name - 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 |
| 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 |
| 1922531839 | Telecare Corporation | Psychiatric Residential Treatment Facility | 9890 Country Farm Road, Building C, Riverside, CA 92503-3505 | 2017-04-07 |
| 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 |
12956 ALTA MESA RD |
| City | HERALD |
| State | CA |
| Zip Code | 95638-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710411020 | Christina Marie Cormier | Behavior Technician | 13253 Angrave Rd Apt. 5, Herald, CA 95638 | 2017-04-13 |
| 1306905518 | River City Recovery Center, Inc | Community/Behavioral Health | 12490 Alta Mesa Road, Herald, CA 95638 | 2006-12-06 |
| 1609921220 | Arcohe Union School District | Local Education Agency (LEA) | 11755 Ivie Rd, Herald, CA 95638-0093 | 2007-01-24 |
| 1134605264 | Danielle Davis | Audiologist-Hearing Aid Fitter | 13075 Ivie Rd, Herald, CA 95638-8306 | 2018-07-11 |
| 1073754362 | Jaime Cline | Counselor | 12490 Alta Mesa Rd, Herald, CA 95638-8409 | 2009-03-16 |
| 1366066367 | Matthew Bednarski | Counselor | 12490 Alta Mesa Rd, Herald, CA 95638-8409 | 2020-06-04 |
| 1457919938 | Daniel Cox | Counselor | 12490 Alta Mesa Rd, Herald, CA 95638-8409 | 2019-05-30 |
| 1376056960 | Brendan Higgins | Counselor | 12490 Alta Mesa Rd, Herald, CA 95638-8409 | 2017-11-06 |
| 1154834752 | Dennis Mahoney | Counselor | 12490 Alta Mesa Rd, Herald, CA 95638-8409 | 2017-11-06 |
| 1891134003 | Vernon Durham Jr. | Counselor | 12490 Alta Mesa Rd, Herald, CA 95638-8409 | 2013-06-20 |
| Find all providers in zip 95638 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.