TELECARE CORPORATION


Address: 1646 Ne Edgecliff Cir, Bend, OR 97701-4159
Phone: 5417887602

TELECARE CORPORATION (NPI# 1013213420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013213420
Entity Type Organization
Organization Name TELECARE CORPORATION
Practice Address 1646 Ne Edgecliff Cir
Bend
OR 97701-4159
Mailing Address 1646 Ne Edgecliff Circle
Bend
OR 97701
Practice Telephone 5417887602
Enumeration Date 2011-02-02
Last Update Date 2011-06-24
Authorized Official Name JAY HARRIS (REGIONAL ADMINISTRATOR)
Authorized Official Telephone 5415303066
Authorized Official Credential M.S.N.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness OR Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851906903 Telecare Corporation Community Based Residential Treatment Facility, Mental Illness 205 Hillside Rd, Antioch, CA 94509-4931 2020-09-14
1609481753 Telecare Corporation Clinic/Center 8471 Enterprise Way, Oakland, CA 94621-1317 2020-09-14
1396377875 Telecare Corporation Clinic/Center 316 Kentuky St, Bakersfield, CA 93305 2020-02-12
1932754033 Telecare Corporation Community Based Residential Treatment Facility, Mental Illness 7821 English Hills Rd, Vacaville, CA 95688-9543 2019-08-06
1790344539 Telecare Corporation Clinic/Center 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 2019-06-06
1609340769 Telecare Corporation Community Based Residential Treatment Facility, Mental Illness 12956 Alta Mesa Rd, Herald, CA 95638-8309 2019-01-11
1952880825 Telecare Corporation Community Based Residential Treatment Facility, Mental Illness 24 W Cypress Pl, Oakley, CA 94561-2258 2018-08-10
1619476892 Telecare Corporation Psychiatric Residential Treatment Facility 298 Bernal Rd Ste A, San Jose, CA 95119-1809 2018-02-02
1912418930 Telecare Corporation Clinic/Center 1481 North Windsor Drive, San Bernardino, CA 92404-5416 2017-10-17
1700319407 Telecare Corporation Clinic/Center 1141 Chelsea Street, Ridgecrest, CA 93555 2017-04-10

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities TELECARE CORPORATION 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078
Colorado Business Entities Telecare Corporation 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501

Office Location

Street Address 1646 NE EDGECLIFF CIR
City BEND
State OR
Zip Code 97701-4159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770804635 Telecare Mental Health Services of Oregon, Inc. Community Based Residential Treatment Facility, Mental Illness 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2010-06-15
1518568120 Adriana Lynn Blake Counselor 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2020-11-02
1659917003 Frances Margaret Bixby Counselor 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2019-11-20
1407334584 Erin Brooke Yasmin Qadir Counselor 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2018-08-01
1992103758 Linda Waczkowski Counselor 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2014-12-10
1053605964 Beverly Ann Halpin Counselor 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2011-06-08
1003105883 Jenny Marie Wolleat Counselor 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2011-04-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1013480714 Andrew Traut Specialist/Technologist Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 2019-01-04
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871801704 Telecare Mental Heatlh Service of Oregon, Inc Community Based Residential Treatment Facility, Mental Illness 20370 Poe Sholes Rd, Bend, OR 97701-7938 2010-09-14
1972814028 Telecare Mental Health Services of Oregon, Inc. Community Based Residential Treatment Facility, Mental Illness 1058 Ne 12th St, Bend, OR 97701-4412 2010-06-23
1770804635 Telecare Mental Health Services of Oregon, Inc. Community Based Residential Treatment Facility, Mental Illness 1646 Ne Edgecliff Cir, Bend, OR 97701-4159 2010-06-15
1770754780 Habilitation Coalition, LLC Community Based Residential Treatment Facility, Mental Illness 3316 Cruise Loop, Bend, OR 97701-8276 2008-03-18
1821544685 Program Design Concepts, Inc Community Based Residential Treatment Facility, Mental Illness 22022 Nelson Rd, Bend, OR 97701-9790 2016-08-31
1588012363 Evoke Community Based Residential Treatment Facility, Mental Illness 20332 Empire Ave, Suitef-7, Bend, OR 97703-5712 2016-06-02
1144677345 Evoke Community Based Residential Treatment Facility, Mental Illness 20332 Empire Ave, Suite F-7, Bend, OR 97703-5712 2016-05-17
1841585833 Telecare Corporation Community Based Residential Treatment Facility, Mental Illness 20370 Poe Sholes Dr, Bend, OR 97701-7938 2011-06-17
1972808822 Jessie Kehaulani Higa Community Based Residential Treatment Facility, Mental Illness 20370 Poe Sholes Rd., Bend, OR 97701 2011-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255932059 Rainrock Treatment Center, LLC Community Based Residential Treatment Facility, Mental Illness 2990 Brandywine Dr, West Linn, OR 97068-8313 2020-11-06
1770101545 Northwest Premier LLC Community Based Residential Treatment Facility, Mental Illness 560 W Rose St, Lebanon, OR 97355-2624 2020-07-08
1538793856 Tamekio Russell Community Based Residential Treatment Facility, Mental Illness 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 2020-02-25
1487290342 Andrew J Thomas Community Based Residential Treatment Facility, Mental Illness 2568 Sw 1st Ave, Ontario, OR 97914-1877 2019-11-25
1760046528 The Sachiko Group, Inc Community Based Residential Treatment Facility, Mental Illness 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 2019-04-26
1831660984 Olthyme LLC Community Based Residential Treatment Facility, Mental Illness 30803 Jeppeson Ln, Hermiston, OR 97838-6222 2018-12-16
1679073712 Columbacare Services Community Based Residential Treatment Facility, Mental Illness 622 57th St, Springfield, OR 97478-6821 2018-02-15
1356858369 Scott Richardson Community Based Residential Treatment Facility, Mental Illness 3934 Rio Vista Way, Klamath Falls, OR 97603 2017-12-29
1558877407 Best Care Treatment Services Community Based Residential Treatment Facility, Mental Illness 1470 Nw 4th St, Redmond, OR 97756-1366 2017-12-14
1831640192 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 8336 Highway 62, White City, OR 97530 2016-10-20
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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