DAVIS GUEST HOME, INC. (NPI# 1699830448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699830448 |
Entity Type | Organization |
Organization Name | DAVIS GUEST HOME, INC. |
Practice Address |
1878 E Hatch Rd Modesto CA 95351-5002 |
Practice Telephone | 2095381496 |
Practice Fax Number | 2095386584 |
Mailing Telephone | 2095381496 |
Mailing Fax Number | 2095386584 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. LONNY G. DAVIS (OWNER) |
Authorized Official Telephone | 2094027900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
Street Address |
1878 E HATCH RD |
City | MODESTO |
State | CA |
Zip Code | 95351-5002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538278205 | Soo Christine Chun | Psychiatry & Neurology | 1878 E Hatch Rd, Modesto, CA 95351-5002 | 2006-08-29 |
1306484027 | Soo Chun Md PC | Psychiatry & Neurology | 1878 E Hatch Rd, Modesto, CA 95351-5002 | 2019-12-12 |
1134381320 | 4 N Psych, Inc. | Psychiatry & Neurology | 1878 E Hatch Rd, Modesto, CA 95351-5002 | 2008-06-28 |
1053511378 | Karlene Hertle Bert | Nurse Practitioner | 1878 E Hatch Rd, Modesto, CA 95351-5002 | 2007-07-24 |
1053416701 | Rex Scott Adamson | Family Medicine | 1878 E Hatch Rd, Modesto, CA 95351-5002 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
Find all providers in zip 95351 |
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 |
---|---|---|---|---|
1720207418 | Modesto Residential Living Center | Community Based Residential Treatment Facility, Mental Illness | 1932 Evergreen Ave, Modesto, CA 95350-3738 | 2007-04-24 |
1740489574 | Turning Point Community Programs | Community Based Residential Treatment Facility, Mental Illness | 609 5th St, Modesto, CA 95351-3316 | 2007-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
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1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 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 |
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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.