GODS LOVE OUTREACH MINISTRIES (NPI# 1871155309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871155309 |
| Entity Type | Organization |
| Organization Name | GODS LOVE OUTREACH MINISTRIES |
| Practice Address |
1117 S Grant St Stockton CA 95206-1626 |
| Mailing Address |
2150 Portola Ave Ste D109 Livermore CA 94551-1784 |
| Practice Telephone | 9255703282 |
| Practice Fax Number | 9254433696 |
| Mailing Telephone | 9255703282 |
| Mailing Fax Number | 9254433696 |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-07-04 |
| Authorized Official Name | ALLEN TURNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9254433680 |
| Is Organization Subpart | Y |
| Parent Organization Name | GODS LOVE OUTREACH MINISTRIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| G.L.O.M. A.R.F. 3 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386183457 | Gods Love Outreach Ministries | Community Based Residential Treatment Facility, Mental Illness | 851 Rincon Ave, Livermore, CA 94551-6524 | 2017-02-22 |
| 1477150787 | Gods Love Outreach Ministries | Clinic/Center | 1020 W Main St, Merced, CA 95340-4521 | 2020-10-08 |
| 1316509847 | Gods Love Outreach Ministries | Community Based Residential Treatment Facility, Mental Illness | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2019-07-04 |
| 1134781669 | Gods Love Outreach Ministries | Community Based Residential Treatment Facility, Mental Illness | 458 Almond Dr, Lodi, CA 95240-7823 | 2019-07-04 |
| Street Address |
1117 S GRANT ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95206-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720108335 | Crystal Rose Krull | Psychologist | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-03-29 |
| 1639390446 | Susan Adames | Counselor | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-05-01 |
| 1528282266 | Steven Derr | Counselor | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-04-12 |
| 1972727618 | Awanda Brownlee | Counselor | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-04-12 |
| 1174746044 | Rick Ayala | Counselor | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-04-10 |
| 1790908671 | Jimmy Edgeworth | Counselor | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-04-10 |
| 1871716662 | Pamela Jones | Counselor | 1117 S Grant St, Stockton, CA 95206-1626 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
| 1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
| Find all providers in zip 95206 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396285979 | Ever Well Health Systems, LLC | Community Based Residential Treatment Facility, Mental Illness | 1215 West Swain Road, Delta At The Sherwoods, Stockton, CA 95207 | 2017-03-02 |
| 1851831465 | Ever Well Health Systems, LLC | Community Based Residential Treatment Facility, Mental Illness | 1950 E Sonora St, Stockton, CA 95205-6364 | 2017-03-01 |
| 1104106129 | Stephen Solari | Community Based Residential Treatment Facility, Mental Illness | 9230 N Alpine Rd, Stockton, CA 95212-9409 | 2011-08-22 |
| 1962871848 | Ever Well Health Systems, LLC | Community Based Residential Treatment Facility, Mental Illness | 4951 E Eight Mile Rd, Stockton, CA 95212-9449 | 2015-09-21 |
| 1366750226 | Human Services Project, Inc | Community Based Residential Treatment Facility, Mental Illness | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 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.