VILLA DE MARTIN JUDE HOMES ARCHER 2 (NPI# 1982034898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982034898 |
| Entity Type | Organization |
| Organization Name | VILLA DE MARTIN JUDE HOMES ARCHER 2 |
| Practice Address |
320 S Archer St Anaheim CA 92804-2418 |
| Practice Telephone | 7147767610 |
| Practice Fax Number | 7142429195 |
| Mailing Telephone | 7147767610 |
| Mailing Fax Number | 7142429195 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | MR. RAMON LOPEZ (OWNER/ADMINSTRATOR) |
| Authorized Official Telephone | 7147464294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | CA | Residential Treatment Facilities |
| Street Address |
320 S ARCHER ST |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360900 | Afestin Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2107 W Grayson Ave, Anaheim, CA 92801-1621 | 2016-08-09 |
| 1316377229 | Villa De Martin Jude Homes Atlanta House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 S Atlanta St, Anaheim, CA 92802-3905 | 2013-11-14 |
| 1053740878 | Tri-elizabeth Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 207 N Bel Air St, Anaheim, CA 92801-6205 | 2013-11-02 |
| 1811326739 | New Horizon Integrated Care, Icf-dd-home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2660 W Trojan Pl, Anaheim, CA 92804-2029 | 2013-11-01 |
| 1144375049 | Liberty House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1133 N Liberty Ln, Anaheim, CA 92805-1544 | 2007-01-24 |
| 1164501912 | New Horizon Interated Care, Icf-dd Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8812 Athens Ct, Anaheim, CA 92804-6204 | 2006-11-03 |
| 1922187772 | Snch Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 327 N Sunkist St, Anaheim, CA 92806 | 2006-11-03 |
| 1316021942 | Pilar M. De Castro & Co. Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 804 N Magnolia Ave, Anaheim, CA 92801-3109 | 2006-10-24 |
| 1194808261 | Villa De Martin Jude Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 S Archer St, Anaheim, CA 92804-2422 | 2006-10-23 |
| 1043234487 | Sunrise Home Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 306 N Siesta St, Anaheim, CA 92801-5117 | 2006-07-27 |
| Find all providers in ANAHEIM | ||||
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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.