CHILDREN'S HOPE GROUP HOME (NPI# 1679009203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679009203 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOPE GROUP HOME |
| Practice Address |
1106 W 22nd St Upland CA 91784-1231 |
| Mailing Address |
Po Box 1938 Upland CA 91785-1938 |
| Practice Telephone | 9095617784 |
| Mailing Telephone | 9095617784 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MIKE SUDYKA (CEO) |
| Authorized Official Telephone | 9095617784 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 366425817 | CA | Residential Treatment Facilities |
| Street Address |
1106 W 22ND ST |
| City | UPLAND |
| State | CA |
| Zip Code | 91784-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164872792 | Bjorn Lars Gothberg | Counselor | 1106 W 22nd St, Upland, CA 91784-1231 | 2016-06-14 |
| 1790385250 | David Christopher Sudyka | Counselor | 1106 W 22nd St, Upland, CA 91784 | 2020-10-26 |
| 1679094817 | Josh Borden | Counselor | 1106 W 22nd St, Upland, CA 91784-1231 | 2017-06-28 |
| 1598291114 | Michael Sudyka | Marriage & Family Therapist | 1106 W 22nd St, Upland, CA 91784-1231 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488265 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 2121 W Baseline Rd, Upland, CA 91784 | 2018-05-22 |
| 1518490135 | Christopher Velasquez | Emergency Medicine | 481 Fremont St, Upland, CA 91784 | 2017-04-10 |
| 1558613240 | Yung Huang | Marriage & Family Therapist | 1550 Geryser St., Upland, CA 91784 | 2012-10-05 |
| 1508132051 | Bunsri Thanasophon | Orthopaedic Surgery | 285 East 24th Street, Upland, CA 91784 | 2012-03-29 |
| 1265742605 | Shahin Taheri | Pharmacist | 15222 Summit Ave, Fontana, CA 91784 | 2010-10-19 |
| 1093883886 | Asha Nayak Ubhayakar | Family Medicine | 1157 West 22nd Street, Upland, CA 91784 | 2006-12-01 |
| 1770786428 | Mahmoud Torabinejad | Dentist | 600 N Euclid Ave, #102, Upland, CA 91784 | 2007-06-08 |
| 1730532946 | Michael Cervantes | Dentist | 2523 Mountain Ln, Upland, CA 91784-1075 | 2016-07-22 |
| 1497099220 | Ellen Liu | Nurse Practitioner | 1307 Mallorca St, Upland, CA 91784-1090 | 2012-11-16 |
| 1497897664 | Charles A Demott | Counselor | 1269 Granada St, Upland, CA 91784-1095 | 2007-02-13 |
| Find all providers in zip 91784 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345193 | Fields Comp. Youth Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Eddington Street, Upland, CA 91786-3440 | 2020-01-15 |
| 1881146421 | Fields Comp. Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Eddington St, Upland, CA 91786-3440 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| 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.