OLIVE CREST (NPI# 1720551971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720551971 |
Entity Type | Organization |
Organization Name | OLIVE CREST |
Practice Address |
4510 E Pacific Coast Hwy Ste 450 Long Beach CA 90804-6924 |
Mailing Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
Practice Telephone | 5628668956 |
Mailing Telephone | 7145435437 |
Enumeration Date | 2019-01-09 |
Last Update Date | 2019-01-09 |
Authorized Official Name | MR. DONALD VERLEUR (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7145435437 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
1144865379 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
1235774464 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
1245875467 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
1174168397 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
1659878809 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 13442 Malena Dr, Santa Ana, CA 92705-1912 | 2018-04-12 |
1366949513 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 19356 Saylor Terrace, Santa Ana, CA 92705 | 2018-04-12 |
1578060919 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 159 N Wheeler St, Orange, CA 92869-3217 | 2018-04-11 |
1194222547 | Olive Crest | Community/Behavioral Health | 275 Victoria St Ste 2m, Costa Mesa, CA 92627-1906 | 2018-04-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | OLIVE CREST | 2130 East 4th Street Ste 200, Santa Ana, CA 92705-3818 |
Washington State Corporations | OLIVE CREST | 2500 116th Ave Ne, Bellevue, WA 98004 |
Washington State Corporations | OLIVE CREST INVESTORS LLC | 720 Seneca St, Suite B, Seattle, WA 98101-3265 |
System for Award Management (SAM) Entities | OLIVE CREST LEARNING TREE | 7180 N 60th St, Omaha, NE 68152-2207 |
Street Address |
4510 E PACIFIC COAST HWY STE 450 |
City | LONG BEACH |
State | CA |
Zip Code | 90804-6924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
Find all providers in zip 90804 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
1174121529 | The Guidance Center | Community/Behavioral Health | 1450 Cedar Ave, Long Beach, CA 90813-1705 | 2020-10-16 |
1497353841 | The Guidance Center | Community/Behavioral Health | 750 Euclid Ave, Long Beach, CA 90804-5228 | 2020-10-16 |
1205434651 | The Guidance Center | Community/Behavioral Health | 1022 E Market St, Long Beach, CA 90805-6034 | 2020-10-16 |
1457959801 | The Guidance Center | Community/Behavioral Health | 1600 Atlantic Ave, Long Beach, CA 90813-2017 | 2020-10-16 |
1093313447 | The Guidance Center | Community/Behavioral Health | 1830 W Columbia St, Long Beach, CA 90810-2913 | 2020-10-16 |
1720686173 | The Guidance Center | Community/Behavioral Health | 1545 Long Beach Blvd, Long Beach, CA 90813-1923 | 2020-10-16 |
1235737883 | The Guidance Center | Community/Behavioral Health | 1175 E 11th St, Long Beach, CA 90813-3659 | 2020-10-15 |
1790383255 | The Guidance Center | Community/Behavioral Health | 3038 Delta Ave, Long Beach, CA 90810-2843 | 2020-10-15 |
1689272239 | The Guidance Center | Community/Behavioral Health | 1055 Freeman Ave, Long Beach, CA 90804-3804 | 2020-10-15 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90804 |
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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.