TERECOR FOUNDATION CORPORATION (NPI# 1700900594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700900594 |
| Entity Type | Organization |
| Organization Name | TERECOR FOUNDATION CORPORATION |
| Other Organization Name | TERECOR FOUNDATION'S SUBSTANCE ABUSE PROGRAM |
| Practice Address |
544 W Rosecrans Ave Compton CA 90222-3944 |
| Mailing Address |
544 W Rosecrans Ave P.o. Box 5245 Compton CA 90222-3944 |
| Practice Telephone | 3106390107 |
| Practice Fax Number | 3106390119 |
| Mailing Telephone | 3106390107 |
| Mailing Fax Number | 3106390119 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. J.D. (NMN) REED, JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3106390107 |
| Authorized Official Credential | D.V. COUNSELOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
190466AOD | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Terecor Foundation's Substance Abuse Program | Doing Business As Name - Organization |
| Street Address |
544 W ROSECRANS AVE |
| City | COMPTON |
| State | CA |
| Zip Code | 90222-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386862589 | Jd Reed Jr. | Counselor | 544 W Rosecrans Ave, Compton, CA 90222-3944 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023497195 | Briana Porter | Clinic/Center | 14102 S. Hillford Ave, Compton, CA 90222 | 2015-05-22 |
| 1467795203 | Maita Siti Kuvhenguhwa | Internal Medicine | 2251 W Rosecrans Ave Ste 18-21, Compton, CA 90222 | 2013-03-29 |
| 1407108194 | Paula Celeste Mcalpin | Registered Nurse | 2110a N. Santa Fe Ave, Compton, CA 90222 | 2012-10-05 |
| 1790035129 | Danielle Cameron | Social Worker | 2010 E.el Segundo, Compton, CA 90222 | 2012-09-13 |
| 1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
| 1962683938 | We Care More II Family Clinic | Nurse Practitioner | 2110a N Santa Fe Ave, Compton, CA 90222 | 2007-11-19 |
| 1588843155 | Cynthia Y. Lidy Dba We Care More II Family Clinic | Nurse Practitioner | 2110 A N. Santa Fe Ave, Compton, CA 90222 | 2007-10-30 |
| 1134262322 | Dershsuan Lii | Dentist | 2115 N.wilmington Ave, Compton, CA 90222 | 2007-02-15 |
| 1134272032 | Karen Kincey | Physician Assistant | 25825 S. Normandie Ave., Harbor City, CA 90222 | 2007-01-22 |
| 1528324381 | David Tobey | Surgery | 2251 W Rosecrans Ave Ste 21, Compton, CA 90222 | 2012-04-05 |
| Find all providers in zip 90222 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477063337 | Bamuma Raechelle Moore | Counselor | 720 S Aprilia Ave, Compton, CA 90220-3423 | 2017-10-05 |
| 1457899049 | Anthony C. Tucker | Counselor | 937 W Elm St, Compton, CA 90220-1815 | 2017-02-03 |
| 1013377951 | Marisela Banda | Counselor | 1315 E Compton Blvd, Compton, CA 90221-3401 | 2016-03-04 |
| 1104296490 | Annie Thomas | Counselor | 1523 E 127th St, Compton, CA 90222-1011 | 2015-09-30 |
| 1568804409 | Lori Williams | Counselor | 3209 N Alameda St Ste C, Compton, CA 90222-1454 | 2013-07-19 |
| 1023353422 | Herstine Johnson | Counselor | 1450 E Compton Blvd, # 115, Compton, CA 90221-3403 | 2012-12-11 |
| 1982996765 | Jamal A Bernard | Counselor | 369 W. Compton Blvd, Compton, CA 90220 | 2011-05-11 |
| 1669785358 | Markida Evette Gould | Counselor | 531 S Caswell Ave, Compton, CA 90220-3303 | 2010-07-22 |
| 1265752109 | Linda Jean Broadous-miles | Counselor | 1701 W 138th St, Compton, CA 90222-3123 | 2010-06-02 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in COMPTON | ||||
Please comment or provide details below to improve the information on TERECOR FOUNDATION CORPORATION.
| 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.