CHARLEE FAMILY CARE, INC (NPI# 1821193954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821193954 |
| Entity Type | Organization |
| Organization Name | CHARLEE FAMILY CARE, INC |
| Practice Address |
6711 Arlington Ave Suite B,c,d Riverside CA 92504-1955 |
| Mailing Address |
136 E 6th St Beaumont CA 92223-2146 |
| Practice Telephone | 9513524964 |
| Practice Fax Number | 9513524965 |
| Mailing Telephone | 9518453588 |
| Mailing Fax Number | 9518453544 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | MR. OLLIE NICHOLAS CLARK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9513523943 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801030945 | Charlee Family Care, Inc | Voluntary or Charitable | 136 E 6th St, Beaumont, CA 92223-2146 | 2009-04-20 |
| 1992837538 | Charlee Family Care, Inc | Voluntary or Charitable | 82704 Miles Ave, Indio, CA 92201-4230 | 2007-03-09 |
| 1982080446 | Charlee Family Care, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 495 E Orange Ave, El Centro, CA 92243-2744 | 2015-08-07 |
| 1366773210 | Charlee Family Care, Inc | Voluntary or Charitable | 25190 Hancock Ave, Suite D, Murrieta, CA 92562-5984 | 2010-01-15 |
| 1497984348 | Charlee Family Care, Inc | Voluntary or Charitable | 495 E Orange Ave, El Centro, CA 92243-2744 | 2009-07-13 |
| Street Address |
6711 ARLINGTON AVE SUITE B,C,D |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121937 | Sunnie Hope Morrison | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2020-07-07 |
| 1053947358 | Savannah Flom | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2020-03-18 |
| 1659913564 | Elisa F Castanon | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2019-10-11 |
| 1144719618 | Roy Leon Anderson Jr. | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2018-05-09 |
| 1538672159 | Eileen Garcia | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2017-11-06 |
| 1720518335 | Leticia Renee Taylor | Counselor | 6711 Arlington Ave, Suite C, Riverside, CA 92504 | 2017-06-15 |
| 1811427420 | Azaleya R Scipio | Counselor | 6711 Arlington Ave, Suite C, Riverside, CA 92504 | 2017-06-15 |
| 1982133252 | Paula Ciara Ramos | Counselor | 6711 Arlington Ave, Suite C, Riverside, CA 92504 | 2017-06-08 |
| 1861925398 | Jacqueline Grace Padilla | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2017-04-11 |
| 1255871273 | Charmaine Hughes | Counselor | 6711 Arlington Ave, Riverside, CA 92504-1955 | 2017-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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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.