SAN LUIS OBISPO HEALTH FACILITY (NPI# 1821303900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821303900 |
| Entity Type | Organization |
| Organization Name | SAN LUIS OBISPO HEALTH FACILITY |
| Practice Address |
2178 Johnson Ave San Luis Obispo CA 93401-4535 |
| Practice Telephone | 8057815959 |
| Mailing Telephone | 8057815959 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | MRS. KATHERINE ANN MCMANUS (STAFF NURSE) |
| Authorized Official Telephone | 8057815959 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| Street Address |
2178 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919263 | Jeffrey Bruce Elliott | Psychologist | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2005-08-16 |
| 1548860745 | Colleen Noel Margalit | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-10-27 |
| 1245839133 | Eliruth Ortiz | Licensed Vocational Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-10-21 |
| 1578181996 | Lynnette Warren | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-13 |
| 1184242869 | Kevin Nitzel | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-09 |
| 1053935718 | Sharon Beryl Maslow | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1629691357 | Bryan A Smith | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1093338196 | Karen Jennifer Greene | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-22 |
| 1902434053 | Mehta Halstead | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-04-01 |
| 1447884010 | Casey Lynn Kay | Licensed Vocational Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889131 | Rscr California, Inc. | Intermediate Care Facility, Mental Illness | 879 Meinecke Ave, San Luis Obispo, CA 93405-1732 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487282273 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 303 S C St, Lompoc, CA 93436-7305 | 2020-03-29 |
| 1497386569 | M&s Guesthomes, Inc. | Intermediate Care Facility, Mental Illness | 2424 W Glencrest Ave, Anaheim, CA 92801-3224 | 2020-01-28 |
| 1346711504 | Cedacal, LLC. | Intermediate Care Facility, Mental Illness | 5663 Cedarglen Dr, Azusa, CA 91702-5007 | 2018-12-16 |
| 1396213302 | Amazing Grace Oasis II | Intermediate Care Facility, Mental Illness | 8708 Bridgeport Ave, Hesperia, CA 92344-5562 | 2018-11-07 |
| 1972081651 | Oc Care Centers, Inc. | Intermediate Care Facility, Mental Illness | 127 N Queensbury St, Anaheim, CA 92806-3814 | 2018-08-03 |
| 1659858868 | Athina Kamar | Intermediate Care Facility, Mental Illness | 5826 Jumilla Ave, Woodland Hills, CA 91367-5604 | 2018-07-20 |
| 1447758024 | Crestwood Behavioral Health Inc | Intermediate Care Facility, Mental Illness | 450 Stanyan St Fl 5, San Francisco, CA 94117-1019 | 2018-01-29 |
| 1376067439 | Alacar. Inc | Intermediate Care Facility, Mental Illness | 4640 E Kaviland Ave, Fresno, CA 93725-1632 | 2017-07-31 |
| 1912358904 | American Helath Services | Intermediate Care Facility, Mental Illness | 1524 W 227th St Apt 1, Torrance, CA 90501-4917 | 2016-06-30 |
| 1639547896 | Arcaida Home Care & Staffing | Intermediate Care Facility, Mental Illness | 1090 E Cypress Ave, Suite B, Redding, CA 96002-1163 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.