GATEWAY RESIDENTIAL PROGRAMS GINGERBLOSSOM HOUSE (NPI# 1720604564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720604564 |
| Entity Type | Organization |
| Organization Name | GATEWAY RESIDENTIAL PROGRAMS GINGERBLOSSOM HOUSE |
| Practice Address |
7605 Gingerblossom Dr Citrus Heights CA 95621-1918 |
| Mailing Address |
1780 Vernon St Ste 1 Roseville CA 95678-6311 |
| Practice Telephone | 9167227952 |
| Practice Fax Number | 9167824544 |
| Mailing Telephone | 9167821111 |
| Mailing Fax Number | 9167824544 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | JEFF BEESLEY (HEAD OF SERVICE/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9163424818 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY RESIDENTIAL PROGRAMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
7605 GINGERBLOSSOM DR |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95621-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612474 | Teaching Autistic Children, Inc | Behavioral Analyst | 6400 Tupelo Drive, Citrus Heights, CA 95621 | 2017-04-10 |
| 1164962023 | Elizabeth Devan | Behavior Technician | 6400 Tupelo Dr., Citrus Heights, CA 95621 | 2017-02-27 |
| 1407395940 | Jana Kenney | Counselor | 7327 #8 Auburn Oaks Court, Citrus Heights, CA 95621 | 2017-02-16 |
| 1306192026 | Steven C. Hammer, D.c. Professional Chiropractic Corp | Chiropractor | 6009 Auburn Blvd Ste 120, Citrus Heights, CA 95621 | 2012-07-31 |
| 1407131832 | Jason Court Richey | Pharmacist | 6144 Dewey Drive, Citrus Heights, CA 95621 | 2011-10-17 |
| 1184817488 | Robert Berry Mcvaugh | Marriage & Family Therapist | 6006 Broken Arrow Court, Citrus Heights, CA 95621 | 2007-08-21 |
| 1639379829 | Juliano Bianchi | Marriage & Family Therapist | 3650 A Auburn Blvd, Suite 200, Sacramento, CA 95621 | 2007-07-25 |
| 1043356785 | Louis J Orlando | Family Medicine | 5959 Greenback Lane Ste 210, Citrus Heights, CA 95621 | 2007-01-29 |
| 1578628483 | Wal-mart Stores, Inc. | Technician/Technologist | 7010 Auburn Blvd, Citrus Heights, CA 95621 | 2006-12-22 |
| 1417011461 | Rami Kaur Basrai | Dentist | 7001 Greenback Lane, Citrus Heights, CA 95621 | 2006-12-21 |
| Find all providers in zip 95621 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912361932 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 8208 Olivine Ave, Citrus Heights, CA 95610-3223 | 2016-04-06 |
| 1811192123 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7697 Madison Ave, Citrus Heights, CA 95610-7516 | 2007-06-18 |
| 1194920405 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7730 Antelope Rd, Citrus Heights, CA 95610-2311 | 2007-06-18 |
| 1720283039 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 5428 Mariposa Ave, Citrus Heights, CA 95610-7438 | 2007-06-18 |
| 1285839597 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7301 Mariposa Ave, Citrus Heights, CA 95610-3089 | 2007-06-18 |
| 1972707586 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 6060 Sunrise Vista Dr Ste 2100, Citrus Heights, CA 95610-7068 | 2007-06-14 |
| 1235753732 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7301 Mariposa Ave, Citrus Heights, CA 95610-3089 | 2020-06-01 |
| 1669894531 | Chris Pettee | Residential Treatment Facility, Emotionally Disturbed Children | 7806 Uplands Way Ste A, Citrus Heights, CA 95610-7567 | 2014-01-13 |
| 1295901486 | Martins' Achievement Place, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7806 Uplands Way, Suite C, Citrus Heights, CA 95610 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95621 |
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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.