DOMINIQUE KEENAN (NPI# 1811447063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811447063 |
| Entity Type | Individual |
| Full Name | DOMINIQUE KEENAN |
| Credential | RADT-I |
| Practice Address |
1550 Juliesse Ave Sacramento CA 95815-1803 |
| Mailing Address |
1550 Juliesse Avenue Sacramento CA 95815 |
| Practice Telephone | 9169216598 |
| Practice Fax Number | 9169216604 |
| Mailing Telephone | 9169216598 |
| Mailing Fax Number | 9169216604 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1550 JULIESSE AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871617688 | Wellspace Health | Community/Behavioral Health | 1550 Juliesse Ave, Sacramento, CA 95817-3648 | 2007-03-19 |
| 1548872187 | Leonard Van Young Sr. | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-08-17 |
| 1699394965 | Brittany May Garcia | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-04-15 |
| 1871126110 | Natalie Erin Miller | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-02-14 |
| 1447890751 | James Edward Bone | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-01-14 |
| 1700426459 | Rhiannon Duncan | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-01-10 |
| 1912546169 | James Joseph Hernandez | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-01-04 |
| 1396381778 | Raymond Edward Jones | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2019-11-21 |
| 1700341112 | Sean Matthew Nardine | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2019-02-10 |
| 1366910473 | Shawnae Carey | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822667 | Cs II,llc | Substance Abuse Rehabilitation Facility | 8950 Cal Center Dr Ste 165b, Sacramento, CA 95826-3259 | 2019-10-11 |
| 1811464019 | The Camp Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 2641 Cottage Way Ste 8, Sacramento, CA 95825-1276 | 2018-10-26 |
| 1629565858 | Psychnp Consultants Inc. | Substance Abuse Rehabilitation Facility | 6808 Fleming Ave, Sacramento, CA 95828-4103 | 2018-04-13 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1790164143 | Cedar Point Recovery, LLC | Substance Abuse Rehabilitation Facility | 8950 Cal Center Dr Ste 160165, Sacramento, CA 95826-3259 | 2015-05-19 |
| 1578976080 | Medmark Treatment Services | Substance Abuse Rehabilitation Facility | 7240 E. Southgate Drive, Sacramento, CA 95823 | 2014-06-03 |
| 1730319609 | Healthy Interventions | Substance Abuse Rehabilitation Facility | 2634 Watertree Way, Sacramento, CA 95826 | 2009-07-24 |
| 1740429174 | Sacramento Area Emergency Housing Center | Substance Abuse Rehabilitation Facility | 2925 34th St, Sacramento, CA 95817-3113 | 2009-02-09 |
| 1376782706 | Sacramento Area Emergency Housing Center | Substance Abuse Rehabilitation Facility | 4516 Parker Ave, Sacramento, CA 95820-4029 | 2009-02-09 |
| 1760629414 | Lamercie Youth and Adult Services, Inc. | Substance Abuse Rehabilitation Facility | 2251 Florin Rd Ste 108, Sacramento, CA 95822-4478 | 2009-01-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
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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.