ANTELOPE VALLEY REHABILITATION CENTERS (NPI# 1730306499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730306499 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY REHABILITATION CENTERS |
| Practice Address |
44900 60th St W Chp Trailer Lancaster CA 93536-7618 |
| Mailing Address |
Po Box 25 Acton CA 93510-0025 |
| Practice Telephone | 6619458458 |
| Practice Fax Number | 6619458248 |
| Mailing Telephone | 6612690062 |
| Mailing Fax Number | 6612690427 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREG HASELTINE (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6612690074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 6767 | 01 |
| Street Address |
44900 60TH ST W CHP TRAILER |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-7618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487729885 | Christine Henry | Counselor | 44900 60th St W, Chp Trailer, Lancaster, CA 93536-7618 | 2006-11-21 |
| 1588068613 | Leonard Houlker | Counselor | 44900 60th St W, Lancaster, CA 93536-7618 | 2014-10-17 |
| 1831516558 | Mark Ferguson | Counselor | 44900 60th St W, Lancaster, CA 93536-7618 | 2014-03-19 |
| 1669898276 | Edlee Hartwell | Counselor | 44900 60th St W, Lancaster, CA 93536-7618 | 2014-03-07 |
| 1669803573 | County of Los Angeles | Clinical Medical Laboratory | 44900 60th St W, Lancaster, CA 93536-7618 | 2013-12-02 |
| 1164855995 | County of Los Angeles | Obstetrics & Gynecology | 44900 60th St W, Lancaster, CA 93536-7618 | 2013-08-15 |
| 1134476799 | Lessette Plascencia Cetto | Nurse Practitioner | 44900 60th St W, Lancaster, CA 93536-7618 | 2012-08-13 |
| 1679841274 | Tai Quoc Huynh | Pharmacist | 44900 60th St W, Lancaster, CA 93536-7618 | 2011-12-09 |
| 1184927741 | Yesenia Castellon | Nurse Practitioner | 44900 60th St W, Lancaster, CA 93536-7618 | 2010-12-20 |
| 1053585141 | Nancy Louise Ferrel | Emergency Medicine | 44900 60th St W, Lancaster, CA 93536-7618 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336263755 | Gaudenzia Inc | Clinic/Center | 208 E King St, Lancaster, PA 17602-2927 | 2007-03-19 |
| 1235219635 | Spanish American Civic Association for Equality, Inc | Clinic/Center | 50 E New St, Lancaster, PA 17602-2074 | 2006-10-17 |
| 1104350263 | Design for Living Behavior Health, Inc. | Clinic/Center | 1805 W Avenue K, Suite 202, Lancaster, CA 93534-5925 | 2017-04-16 |
| 1619106747 | Tarzana Treatment Centers, Inc. | Clinic/Center | 44443 10th St W, Lancaster, CA 93534-3346 | 2009-07-10 |
| 1720014988 | Lancaster County Commission On Alcohol and Drug Abuse | Clinic/Center | 114 S Main St, Lancaster, SC 29720-2442 | 2006-06-22 |
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| 1184230328 | Recovery & Resilience Centers | Clinic/Center | 1665 Creekside Dr Ste 100, Folsom, CA 95630-3538 | 2020-09-22 |
| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
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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.