SUPPORT SYSTEMS HOMES IOP (NPI# 1013338987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013338987 |
| Entity Type | Organization |
| Organization Name | SUPPORT SYSTEMS HOMES IOP |
| Practice Address |
173 N Morrison Ave San Jose CA 95126-2712 |
| Practice Telephone | 4088851155 |
| Mailing Telephone | 4088851155 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | JENNIFER DOOLEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4088851155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| Street Address |
173 N MORRISON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215991583 | South Valley Multi Specialty Medical Group Inc | Family Medicine | 173 N Morrison Ave, Suite C, San Jose, CA 95126-2712 | 2006-04-13 |
| 1275954950 | Cads Iop | Substance Abuse Rehabilitation Facility | 173 N Morrison Ave, San Jose, CA 95126-2712 | 2013-12-23 |
| 1912331828 | Insight Diagnostic Technologist Services | Clinic/Center | 173 N Morrison Ave, Suite D, San Jose, CA 95126-2712 | 2013-08-27 |
| 1891079315 | Robert A. Quint Md Medical Corporation | Internal Medicine | 173 N Morrison Ave, Suite C, San Jose, CA 95126-2712 | 2011-10-03 |
| 1366739195 | Crest Optometry, Inc | Optometrist | 173 N Morrison Ave, Ste. E, San Jose, CA 95126-2712 | 2011-06-30 |
| 1760700207 | Tobiit Inc | Family Medicine | 173 N Morrison Ave, Suite D, San Jose, CA 95126-2712 | 2010-05-07 |
| 1952446304 | Hao Quang Duong | Psychiatry & Neurology | 173 N Morrison Ave, Suite I, San Jose, CA 95126-2712 | 2007-02-21 |
| 1649348350 | Robert A Quint | Internal Medicine | 173 N Morrison Ave, Suite C, San Jose, CA 95126-2712 | 2006-12-01 |
| 1760562748 | Asifaziz Md Professional Corporation | Internal Medicine | 173 N Morrison Ave, Suite D, San Jose, CA 95126-2712 | 2006-10-16 |
| 1669402384 | Costantino T Gallo | Internal Medicine | 173 N Morrison Ave, Suite C, San Jose, CA 95126-2712 | 2006-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
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| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188239 | Synthesis Recovery LLC | Substance Abuse Rehabilitation Facility | 5498 Blackoak Way, San Jose, CA 95129-3110 | 2019-05-04 |
| 1407355548 | Telecare Copration | Substance Abuse Rehabilitation Facility | 298 Bernal Rd Ste B, San Jose, CA 95119-1809 | 2018-02-05 |
| 1073048716 | New Life Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1101 Park Ave, San Jose, CA 95126-2911 | 2017-05-01 |
| 1437684172 | New Life Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 166 Clayton Ave., San Jose, CA 95110-2229 | 2017-05-01 |
| 1659818441 | Red Road Treatment, Inc | Substance Abuse Rehabilitation Facility | 421 N 13th St, San Jose, CA 95112-1720 | 2017-01-31 |
| 1376097923 | Serenity Gardens Rehab | Substance Abuse Rehabilitation Facility | 5830 Cohasset Way, San Jose, CA 95123-3710 | 2016-08-12 |
| 1841656964 | Pathway Society Inc | Substance Abuse Rehabilitation Facility | 2390 Lucretia Ave, 1106, San Jose, CA 95122-4215 | 2016-01-05 |
| 1760850945 | Wellness Recovery Retreat Center | Substance Abuse Rehabilitation Facility | 10615 Crothers Rd, San Jose, CA 95127-1728 | 2015-09-04 |
| 1124396627 | Pathway Society Inc. | Substance Abuse Rehabilitation Facility | 861 S 10th St, San Jose, CA 95112-2434 | 2011-12-12 |
| 1558639161 | Pathway Society Inc | Substance Abuse Rehabilitation Facility | 850 E Empire St, San Jose, CA 95112-1707 | 2011-12-09 |
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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.