FRONT ST INC (NPI# 1710210505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710210505 |
Entity Type | Organization |
Organization Name | FRONT ST INC |
Other Organization Name | DRAKE HOUSE RESIDENTIAL |
Practice Address |
399 Drake Ave Monterey CA 93940-7504 |
Mailing Address |
2115 7th Ave Santa Cruz CA 95062-1663 |
Practice Telephone | 8316439069 |
Mailing Telephone | 8314200120 |
Mailing Fax Number | 8314200123 |
Enumeration Date | 2009-09-10 |
Last Update Date | 2012-03-23 |
Authorized Official Name | ANN M. BUTLER (PRESIDENT) |
Authorized Official Telephone | 8314200120 |
Is Organization Subpart | Y |
Parent Organization Name | FRONT ST INC |
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 | MEDI-CAL PRV NBR | 27BW1 | 01 |
CA | MEDI-CAL PRV NBR | 44CF | 01 |
Other Name | Type Code |
---|---|
Drake House Residential | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598984650 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 707 Darwin St, Santa Cruz, CA 95062-2208 | 2007-04-25 |
1760609044 | Front St Inc | Case Management | 400 Foam St, Suite A, Monterey, CA 93940-1449 | 2007-04-19 |
1730306382 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 4795 Opal Cliff Dr, Capitola, CA 95062-5229 | 2007-04-18 |
1922242734 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 303 Potrero St, Ste 103, Santa Cruz, CA 95060-2741 | 2009-04-23 |
1770703357 | Front St Inc | Case Management | 126 Front St, A, Santa Cruz, CA 95060-4402 | 2007-04-26 |
1982823043 | Front St Inc | Case Management | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2007-04-25 |
1679790208 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 126 Front St, Santa Cruz, CA 95060-4402 | 2007-04-18 |
1841417409 | Front St Inc | Case Management | 155 Willowbrook Dr, Ben Lomond, CA 95005-9714 | 2007-04-18 |
Street Address |
399 DRAKE AVE |
City | MONTEREY |
State | CA |
Zip Code | 93940-7504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861614190 | Gina Michelle Thomas | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2007-05-03 |
1689287211 | Kayla Marie Chapman | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2020-08-24 |
1407468044 | Michelle Dani Gervacio | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2020-08-17 |
1700402328 | Rosalba A Ruiz | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2020-06-19 |
1457904914 | Judy Gadi Lambarte | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2019-07-23 |
1942767082 | Enjolii Yemon Johnson | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2019-02-25 |
1043789464 | Clayton Richard Goff | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2018-11-14 |
1972095099 | Brad Carlson | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2018-06-04 |
1548751050 | Zachary Catania | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2018-05-21 |
1184112583 | Melanie Bustamante | Counselor | 399 Drake Ave, Monterey, CA 93940-7504 | 2018-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
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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 |
---|---|---|---|---|
1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
1407344641 | Interim, Inc. | Community Based Residential Treatment Facility, Mental Illness | 343 Dela Vina Ave, Monterey, CA 93940-3974 | 2018-04-24 |
1003189614 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St, Interim Inc, Monterey, CA 93940-3070 | 2012-02-13 |
1376702290 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 550 Camino El Estero, Monterey, CA 93940-3231 | 2008-06-05 |
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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.