VERNON HOLM (NPI# 1821263922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821263922 |
| Entity Type | Organization |
| Organization Name | VERNON HOLM |
| Practice Address |
659 E Walnut St Pasadena CA 91101-1635 |
| Mailing Address |
323 W 2nd St San Dimas CA 91773-2029 |
| Practice Telephone | 6268440410 |
| Mailing Telephone | 9095926897 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | VERNON ALBERT HOLM (ALCOHOL OR OTHER DRUG COUNSELOR) |
| Authorized Official Telephone | 9095926897 |
| Authorized Official Credential | CADDTP # 1367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
659 E WALNUT ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578681250 | California Drug Consultants | Public Health or Welfare | 659 E Walnut St, Pasadena, CA 91101-1635 | 2007-03-27 |
| 1356683577 | Luis Da La Cueva | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2013-03-26 |
| 1063769222 | Maria Aceves | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2012-08-07 |
| 1487920500 | Ronald Reed | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2012-03-23 |
| 1467733626 | Anthony Estrada | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2011-09-01 |
| 1508162652 | Houman Michael Rahmani | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2011-02-08 |
| 1598074346 | Frank Rios Rivera | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2010-09-28 |
| 1124330162 | Chris Cifuentes | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2010-07-07 |
| 1588984421 | Cameron Davis | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2010-06-02 |
| 1447581236 | California Drug Counseling, Inc. | Case Management | 659 E Walnut St, Pasadena, CA 91101-1635 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| 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 |
|---|---|---|---|---|
| 1902432636 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8001 Leeland Dr, Pasadena, MD 21122-2495 | 2020-03-13 |
| 1154964880 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003a Leeland Dr, Pasadena, MD 21122-2495 | 2019-10-25 |
| 1326694134 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003 Leeland Dr, Pasadena, MD 21122-2495 | 2019-08-16 |
| 1609305069 | Opportunity Ministries, Inc. | Substance Abuse Rehabilitation Facility | 212 Sillery Bay Road, Pasadena, MD 21122-5946 | 2017-06-08 |
| 1225566847 | Taj Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 979 E Washington Blvd, Pasadena, CA 91104-2439 | 2017-05-25 |
| 1750821773 | I Am Treatment Sanctuaries, Inc. | Substance Abuse Rehabilitation Facility | 651 Castano Ave, Pasadena, CA 91107-2703 | 2017-02-24 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1750798245 | Tranquility Woods LLC | Substance Abuse Rehabilitation Facility | 171a Ryan Rd, Pasadena, MD 21122-4541 | 2014-07-16 |
| 1841635737 | Houston Substance Abuse Clinic @ Pasadena, Inc. | Substance Abuse Rehabilitation Facility | 5825 Spencer Hwy, Pasadena, TX 77087 | 2013-05-06 |
| 1235472721 | Elijah's House Tx Corp | Substance Abuse Rehabilitation Facility | 1617 Asbury Dr, Pasadena, CA 91104-3113 | 2013-04-03 |
| Find all providers in PASADENA | ||||
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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.