EL LUCERO - A BILINGUAL LIFE SKILLS CENTER (NPI# 1023021441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023021441 |
| Entity Type | Organization |
| Organization Name | EL LUCERO - A BILINGUAL LIFE SKILLS CENTER |
| Practice Address |
106 Cambridge St Suite 105 Fredericksburg VA 22405-1952 |
| Mailing Address |
Po Box 42178 Fredericksburg VA 22404-2178 |
| Practice Telephone | 5403727211 |
| Practice Fax Number | 5403727223 |
| Mailing Telephone | 5403727211 |
| Mailing Fax Number | 5403727233 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | MS. LUZ AMALYA GONZALEZ (DIRECTOR-BILINGUAL INSTRUCTOR) |
| Authorized Official Telephone | 5403727211 |
| Authorized Official Credential | CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | 0710102137 | VA | Hospital Units |
| N | 302F00000X | Exclusive Provider Organization | 0710102137 | VA | Managed Care Organizations |
| N | 170300000X | Genetic Counselor, MS | 0710102137 | VA | Other Service Providers |
| N | 252Y00000X | Early Intervention Provider Agency | 0710102137 | VA | Agencies |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0710102137 | VA | Residential Treatment Facilities |
| Street Address |
106 CAMBRIDGE ST SUITE 105 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22405-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217442 | Rappahannock Area Young Men's Christian Association | Health Educator | 212 Butler Road, Falmouth, VA 22405 | 2017-10-24 |
| 1518334606 | Darrell Dean Dila | Physical Therapist | 212 Butler Rd, Fredericksburg, VA 22405 | 2015-08-25 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1033494984 | Trinity Home Health | Home Health | 111 Braemar Place, Fredericksburg, VA 22405 | 2011-10-11 |
| 1053526350 | Steffani A. Deas | Optometrist | 110 Cambridge Street, Access Eye Centers, Fredericksburg, VA 22405 | 2007-05-11 |
| 1689899726 | Clear Care Dental Pllc. | Preferred Provider Organization | 10 Chatham Heights Rd., Fredericksburg, VA 22405 | 2007-04-16 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| 1134137086 | Premier Eyecare, Angela Tsai, O.d. and Associates, P.C. | Optometrist | 230 Butler Road, Fredericksburg, VA 22405 | 2006-08-04 |
| 1952383606 | Kash Eagleton | Physical Therapist | 421 Chatham Square Office Park, Fredericksburg, VA 22405 | 2005-11-17 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| Find all providers in zip 22405 | ||||
| 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 |
|---|---|---|---|---|
| 1073999678 | Awakenings Hill Country LLC | Substance Abuse Rehabilitation Facility | 184 Fullbrook Ln, Fredericksburg, TX 78624-8313 | 2015-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009765 | The Recovery Connection LLC | Substance Abuse Rehabilitation Facility | 2832 Saratoga Dr, Winchester, VA 22601-2622 | 2020-06-25 |
| 1457976631 | Dunamis Garden Counseling Services | Substance Abuse Rehabilitation Facility | 1576 Oakland Chase Pkwy, Henrico, VA 23231-5736 | 2020-06-12 |
| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1063052579 | Landmark Recovery of Norfolk LLC | Substance Abuse Rehabilitation Facility | 1516 Harmon St, Norfolk, VA 23518-4056 | 2020-01-13 |
| 1619514957 | Volunteers of America Chesapeake, Inc. | Substance Abuse Rehabilitation Facility | 1554 Columbia Pike, Arlington, VA 22204-4667 | 2019-12-05 |
| 1326699927 | Caron Marc LLC | Substance Abuse Rehabilitation Facility | 4600 Fairfax Dr Ste 906, Arlington, VA 22203-1553 | 2019-09-25 |
| 1184188641 | The Bridge Ministry, Inc. | Substance Abuse Rehabilitation Facility | 3054 Dixie Hill Rd, Buckingham, VA 23921-3017 | 2019-01-29 |
| 1316427214 | Virginia Health Operations LLC | Substance Abuse Rehabilitation Facility | 1318 Kurtz Rd, Mc Lean, VA 22101-4017 | 2018-08-20 |
| 1740766161 | Community Wellness & Support, LLC | Substance Abuse Rehabilitation Facility | 34 Medical Park Blvd Ste A, Petersburg, VA 23805-9283 | 2018-07-18 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22405 |
Please comment or provide details below to improve the information on EL LUCERO - A BILINGUAL LIFE SKILLS CENTER.
| 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.