ELIM PLACE, INC. (NPI# 1629419833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629419833 |
| Entity Type | Organization |
| Organization Name | ELIM PLACE, INC. |
| Practice Address |
1808 5th Street Sanger CA 93657 |
| Mailing Address |
1808 5th Street. Sanger CA 93657 |
| Practice Telephone | 5598757268 |
| Practice Fax Number | 5598757075 |
| Mailing Telephone | 5598757268 |
| Mailing Fax Number | 5598757075 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MRS. RACHEL ELLEN WOLF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5592131095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
107206629 | CA | Nursing & Custodial Care Facilities |
| Street Address |
1808 5TH STREET |
| City | SANGER |
| State | CA |
| Zip Code | 93657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
| 1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
| 1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
| 1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
| 1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
| 1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
| 1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
| 1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
| 1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
| 1467834812 | Nancy Gutierrez Rivera | Internal Medicine | 1939 Academy Ave, Sanger, CA 93657 | 2015-06-22 |
| Find all providers in zip 93657 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
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| 1528457066 | Silver Lining Care Home | Assisted Living Facility | 3570 Hazeltine Ln, Roseville, CA 95747-6319 | 2015-01-21 |
| 1972906584 | Baj Management, Inc. | Assisted Living Facility | 800 Prospect Ave, South Pasadena, CA 91030-2420 | 2014-09-28 |
| 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.