THE ARC OF SAN DIEGO (NPI# 1730361569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730361569 |
| Entity Type | Organization |
| Organization Name | THE ARC OF SAN DIEGO |
| Other Organization Name | TURLEY GROUP HOME |
| Practice Address |
9075 Creekford Drive Lakeside CA 92040 |
| Mailing Address |
3030 Market Street San Diego CA 92102 |
| Practice Telephone | 6196851175 |
| Practice Fax Number | 6192343759 |
| Mailing Telephone | 6196851175 |
| Mailing Fax Number | 6199064031 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | MR. JOSEPH TONTODONATO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6196851175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 05-G852 | 05 |
| Other Name | Type Code |
|---|---|
| Turley Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1174705909 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 9575 Aero Dr, San Diego, CA 92123-1803 | 2007-12-04 |
| 1902088735 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 2930 Helix Street, Spring Valley, CA 91977 | 2007-12-04 |
| 1801012927 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-04-17 |
| 1578745303 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1043492879 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1497937221 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1336321165 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1114109949 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1922280759 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| Street Address |
9075 CREEKFORD DRIVE |
| City | LAKESIDE |
| State | CA |
| Zip Code | 92040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507476 | Edna Jean Collins | Registered Nurse | 15611 Mountain Valley Place, Lakeside, CA 92040 | 2020-10-26 |
| 1881180073 | Ryle Stous | Physical Therapist | 13552 Julian Ave, Lakeside, CA 92040 | 2018-07-10 |
| 1649709932 | Good Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 10553 Valle Vista Rd, Lakeside, CA 92040 | 2017-06-08 |
| 1124555461 | Jacob Milton Murdock Iv | Student in an Organized Health Care Education/Training Program | 12064 Woodside Ave Suite 105, San Diego Center for Neurofeedback, Lakeside, CA 92040 | 2017-05-17 |
| 1891152369 | Kathy Gamboa II | Registered Nurse | 9636 Caminito Macklin, Lakeside, CA 92040 | 2016-01-28 |
| 1093118176 | Thomas Hathorn | Substance Abuse Rehabilitation Facility | 24352 Featherstone Canyon Rd., Lakeside, CA 92040 | 2014-10-02 |
| 1134771512 | Thais Dinese St Martin | Speech-Language Pathologist | 12335 Woodside Ave, Lakeside, CA 92040 | 2019-07-15 |
| 1831585561 | Genesis Recovery, Inc. | Substance Abuse Rehabilitation Facility | 24352 Featherstone Canyon Rd., Lakeside, CA 92040 | 2015-04-09 |
| 1699047506 | Amy S. Woh | Counselor | 12064 Woodside Ave Ste 105, Lakeside, CA 92040 | 2012-02-08 |
| 1811272065 | Lea Capuno Evangelista | Pharmacist | 9728 Winter Gardens Blvd, Lakeside, CA 92040 | 2011-10-19 |
| Find all providers in zip 92040 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531503 | Mainstream Habilitation Services of Texas, Inc. | Intermediate Care Facility, Mentally Retarded | 717 Mountain Ridge Ct W, Lakeside, TX 76135-4925 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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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.