HORATIUS GITTENS (NPI# 1679905137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679905137 |
| Entity Type | Individual |
| Full Name | HORATIUS GITTENS |
| Credential | MFTI |
| Practice Address |
1053 N D St San Bernardino CA 92410-3521 |
| Practice Telephone | 9097635500 |
| Mailing Telephone | 9097635500 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY NUMBER | 00188 | 01 |
| Street Address |
1053 N D ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207489 | Richard George Myatt | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2006-08-25 |
| 1679103543 | Tracy Lynn Wainwright | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2020-01-20 |
| 1174165468 | Elva Alejandra Silva | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-10-08 |
| 1477102796 | Kathryn Christensen | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-09-09 |
| 1780232330 | Victor Samuel Ramirez | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-08-27 |
| 1669029039 | Natalie Salas | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-08-21 |
| 1700431459 | Gerson Yestin Bravo | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-08-08 |
| 1689226672 | Altanyce Brown | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-07-10 |
| 1679133235 | Jessica Jimenez | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-06-17 |
| 1922668854 | Beatrice A De La Cerra | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1699299180 | Helping Hearts California, LLC | Community Based Residential Treatment Facility, Mental Illness | 2421 Kern St, San Bernardino, CA 92407-6111 | 2017-07-27 |
| 1396265336 | Valley Star Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 720 E Gilbert St, San Bernardino, CA 92415-0001 | 2017-06-21 |
| 1326432527 | Valley Star Crt - 'the Stay' | Community Based Residential Treatment Facility, Mental Illness | 780 E Gilbert St, San Bernardino, CA 92415-1003 | 2015-03-25 |
| 1851637151 | Valley Star Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 780 E Gilbert St, San Bernardino, CA 92415-1003 | 2012-12-14 |
| 1306905195 | Victor Treatment Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1053 N D St, San Bernardino, CA 92410-3521 | 2006-12-07 |
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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 |
| 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 |
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
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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.