GREEN WELLS EECP PHYSICAL THERAPY (NPI# 1013246222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013246222 |
| Entity Type | Organization |
| Organization Name | GREEN WELLS EECP PHYSICAL THERAPY |
| Other Organization Name | GREEN WELLS EECP |
| Practice Address |
8602 Elburg Street Apt C Paramount CA 90723 |
| Mailing Address |
8602 Elburg St Unit C 7136 Pacific Blvd Suite 220 Paramount CA 90723-8632 |
| Practice Telephone | 3104051478 |
| Mailing Telephone | 3235885467 |
| Mailing Fax Number | 3235896662 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | MR. JARED JASON WELLS (OWNER/CHIEF TECHICIAN) |
| Authorized Official Telephone | 3104051478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| green wells eecp | Doing Business As Name - Organization |
| Street Address |
8602 ELBURG STREET APT C |
| City | PARAMOUNT |
| State | CA |
| Zip Code | 90723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104749 | Juaquin Zavala | Behavior Technician | 16436 1/2 Orizaba Ave, Paramount, CA 90723 | 2020-01-28 |
| 1770034324 | Magdalena Gomez | Secured Medical Transport (VAN) | 14125 Garfield Ave, Paramount, CA 90723 | 2016-10-19 |
| 1932589835 | Irvine Healthcare Acupuncture, Inc. | Acupuncturist | 16444 Paramount Blvd., Suite 208, Paramount, CA 90723 | 2015-06-05 |
| 1972990711 | Lanita Morgan | Durable Medical Equipment & Medical Supplies | 16209 Paramount Bl #207, Paramount, CA 90723 | 2015-04-20 |
| 1326430596 | Desiree Anne Moreno | Marriage & Family Therapist | 13965 Arthur Ave., Unit G, Paramount, CA 90723 | 2015-02-25 |
| 1932538071 | Fernando Guerrero | Licensed Vocational Nurse | 6636 San Marcus St, Paramount, CA 90723 | 2013-11-08 |
| 1871875336 | Marleene Garcia | Radiologic Technologist | 13962 Florine Avenue, Paramount, CA 90723 | 2011-09-12 |
| 1457588758 | Olivier Urayeneza | Surgery | 15942 Colorado Ave, Paramount, CA 90723 | 2009-06-15 |
| 1659543189 | Kasey Djuana Bland | Marriage & Family Therapist | 8635 Somerset Blvd, Apartment #258, Paramount, CA 90723 | 2008-03-25 |
| 1578764874 | Shailesh Patel | Pharmacist | 8447 Alondra Blvd, Paramount, CA 90723 | 2007-05-31 |
| Find all providers in zip 90723 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical 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 |
|---|---|---|---|---|
| 1881217974 | At Awe LLC | Residential Treatment Facility, Physical Disabilities | 10876 Morning Ridge Dr, Moreno Valley, CA 92557-4202 | 2020-05-22 |
| 1558980896 | Viewcrest Congregate Living | Residential Treatment Facility, Physical Disabilities | 7831 Melita Ave, North Hollywood, CA 91605-1820 | 2020-04-15 |
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1518515618 | Dashonia Shaw | Residential Treatment Facility, Physical Disabilities | 3053 N Delno Ave, Fresno, CA 93705-4015 | 2019-08-31 |
| 1114572385 | Twet, LLC | Residential Treatment Facility, Physical Disabilities | 1682 Daybreak Pl, Escondido, CA 92027-1023 | 2019-08-05 |
| 1144873308 | Resurgence California, LLC | Residential Treatment Facility, Physical Disabilities | 3129 Pierce Ave, Costa Mesa, CA 92626-2827 | 2019-07-17 |
| 1891352019 | Mountain View Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 9001 Riderwood Dr, Sunland, CA 91040-2628 | 2019-05-22 |
| 1174014153 | Fresno Congregate Living Inc | Residential Treatment Facility, Physical Disabilities | 3110 E Sierra Ave, Fresno, CA 93710-5917 | 2018-05-24 |
| 1871090803 | Prestige Care Center | Residential Treatment Facility, Physical Disabilities | 474 Sunday Dr, Turlock, CA 95382-9625 | 2018-04-06 |
| 1699281584 | Derani Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 7344 Etiwanda Ave, Reseda, CA 91335-3103 | 2017-12-14 |
| 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.