LIFELINE TREATMENT SERVICES INC


Address: 10429 International Blvd, Oakland, CA 94603-3221
Phone: 5107778448

LIFELINE TREATMENT SERVICES INC (NPI# 1689890758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689890758
Entity Type Organization
Organization Name LIFELINE TREATMENT SERVICES INC
Practice Address 10429 International Blvd
Oakland
CA 94603-3221
Mailing Address 26460 Summit Cir
Santa Clarita
CA 91350-2991
Practice Telephone 5107778448
Practice Fax Number 5107778452
Mailing Telephone 6612546630
Mailing Fax Number 6612546644
Enumeration Date 2007-04-17
Last Update Date 2020-01-08
Authorized Official Name MR. PRAMESH PRAKASH SHARMA (SR VP)
Authorized Official Telephone 6612546630
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
0195 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE NTP LICENSE 01-99 01
CA MEDI-CAL NUMBER 0196 01

Office Location

Street Address 10429 INTERNATIONAL BLVD
City OAKLAND
State CA
Zip Code 94603-3221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760007751 Darcey Erin Elizabeth Clark Counselor 10429 International Blvd, Oakland, CA 94603-3221 2020-06-15
1205487105 Delicia Ann Torres Licensed Vocational Nurse 10429 International Blvd, Oakland, CA 94603-3221 2019-09-23
1427513233 Kristina Marie Grisso Counselor 10429 International Blvd, Oakland, CA 94603-3221 2019-02-06
1891250957 Angela Sophia Alba Nunes Licensed Vocational Nurse 10429 International Blvd, Oakland, CA 94603-3221 2019-02-04
1770047730 Jennifer Rosa Ortiz Licensed Vocational Nurse 10429 International Blvd, Oakland, CA 94603-3221 2019-01-24
1225509359 Teerikca Renee Houston Licensed Vocational Nurse 10429 International Blvd, Oakland, CA 94603-3221 2018-12-16
1255833042 Tawny Denisha Williams Counselor 10429 International Blvd, Oakland, CA 94603-3221 2018-03-07
1740792555 Jenay I Brown Counselor 10429 International Blvd, Oakland, CA 94603-3221 2017-11-02
1285184846 Sharrise Williams Counselor 10429 International Blvd, Oakland, CA 94603 2016-10-07
1659821213 Linna Hov Counselor 10429 International Blvd, Oakland, CA 94603 2016-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235694092 Kimberlyn Taylor Behavioral Analyst 11042 Robledo Dr, Oakland, CA 94603 2019-02-06
1114414315 Christopher Maurice Cain Community Health Worker 9925 International Blvd #5, Oakland, CA 94603 2018-04-13
1720508039 Jessie James King Jr. Counselor 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 2017-06-27
1619426475 Susana Obispo Counselor 10429 International Boulevard, Oakland, CA 94603 2016-09-22
1760764955 Paul E Rammer Marriage & Family Therapist 1523 Chandler Street, Oakland, CA 94603 2011-09-13
1447250998 East Oakland Obs Gyn Med Gp Inc Obstetrics & Gynecology 9925 International Blvd, Ste 1, Oakland, CA 94603 2005-07-27
1508148685 Kimberly Alston-stepnitz Counselor 9925 International Blvd, Oakland, CA 94603 2011-09-14
1699729426 Robert Scott Millard Physical Medicine & Rehabilitation 500 Arguello Street, Suite 100, Redwood City, CA 94603 2006-05-19
1982920542 Alwaha Travel Agency for Hajj and Umrah LLC Non-emergency Medical Transport (VAN) 60 98th Ave Ste 100, Oakland, CA 94603-1000 2010-04-07
1336637644 Carlos Leonel Lopez Technician, Other 301 Clara St, Oakland, CA 94603-1101 2018-04-23
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417214727 Fort Help, LLC Clinic/Center 9442 International Blvd, Oakland, CA 94603-1444 2012-04-12
1922364413 Lifeline Treatment Services, Inc Clinic/Center 9442 International Blvd, Oakland, CA 94603-1444 2012-04-09
1598060683 Lifeline Treatment Services Clinic/Center 9442 International Blvd, Oakland, CA 94603-1444 2011-01-20
1093976417 Baart Behavioral Health Services Clinic/Center 1124 International Blvd, Oakland, CA 94606-4331 2008-06-18
1205035425 Addiction Research and Treatment, Inc Clinic/Center 1124 International Blvd, Oakland, CA 94606-4331 2007-07-17
1912106139 Baart Behavioral Health Services, Inc Clinic/Center 1124 International Blvd, Oakland, CA 94606-4331 2007-07-17
1720204696 Humanistic Alternatives To Addiction Research and Treatment, Inc. Clinic/Center 10850 Macarthur Blvd, Oakland, CA 94605-5266 2007-04-18
1043331630 The West Oakland Health Council Clinic/Center 700 Adeline St, Oakland, CA 94607-2608 2007-04-02

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NPI Name Taxonomy Address Enumeration
1083224141 Aegis Treatment Centers, LLC Clinic/Center 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 2020-08-04
1093323222 City and County of San Francisco Clinic/Center 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 2020-07-14
1548899644 Bella Team Ltd. Clinic/Center 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 2020-04-02
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1518501527 Harmonic Solutions LLC Clinic/Center 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 2019-11-01
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1306326699 Kristen Andree Rickard Clinic/Center 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 2018-08-16
1083141600 Baart Behavioral Health Services, Inc. Clinic/Center 1145 Market St Fl 10, San Francisco, CA 94103-1566 2017-05-13
1013448547 Coachella Valley Treatment Center Clinic/Center 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 2017-03-26
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Competitor

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City OAKLAND
Zip Code 94603

Improve Information

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Dataset Information

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.

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