ROQUE CENTER, INC (NPI# 1689772170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689772170 |
| Entity Type | Organization |
| Organization Name | ROQUE CENTER, INC |
| Practice Address |
10936 Dale Ave Stanton CA 90680-2724 |
| Mailing Address |
10936 Dale Ave. Stanton CA 90680 |
| Practice Telephone | 7149524032 |
| Practice Fax Number | 7149524075 |
| Mailing Telephone | 7149524032 |
| Mailing Fax Number | 7149524075 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | MRS. DANA SCOTT (EXECUTIVE MANAGER) |
| Authorized Official Telephone | 7149524032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300015AN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE AND CERTIFI | 300015AN | 01 |
| Street Address |
10936 DALE AVE |
| City | STANTON |
| State | CA |
| Zip Code | 90680-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584598 | Cheyenne Elayne Mckloski | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1083230072 | Antoinette Sanchez | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1225652944 | Donald Ross | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-05-29 |
| 1225667827 | Melissa J Johnson | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-04-06 |
| 1568095842 | Jeshua Valverde | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1659904936 | Nicholas A Alcus | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1710525589 | Hinal Maganlal | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-12-12 |
| 1750924056 | Shauna Mckinney | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-10-21 |
| 1821639030 | Victoria Lee Weber | Social Worker | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-09-30 |
| 1255985255 | Breanon Kratzer | Counselor | 10936 Dale Ave, Stanton, CA 90680 | 2019-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| 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 |
|---|---|---|---|---|
| 1588045579 | Yesenia Karina Garcia | Substance Abuse Rehabilitation Facility | 10936 Dale Ave, Stanton, CA 90680-2724 | 2015-06-15 |
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| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 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.