LIFE CENTER OF AMERICA (NPI# 1033356464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033356464 |
| Entity Type | Organization |
| Organization Name | LIFE CENTER OF AMERICA |
| Practice Address |
1057 N St Merced CA 95341-5962 |
| Mailing Address |
1570 N Wishon Ave Fresno CA 93728-1831 |
| Practice Telephone | 2093849547 |
| Mailing Telephone | 5592370072 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MR. DAVID HARTFIELD JR. (CEO) |
| Authorized Official Telephone | 5592370072 |
| Authorized Official Credential | M.DIV |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 100079AN | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144468745 | Life Center of America | Community/Behavioral Health | 3726 Barrett Ave, Richmond, CA 94805-2253 | 2009-02-04 |
| 1679719447 | Life Center of America | Community/Behavioral Health | 1607 C St, Fresno, CA 93706-1929 | 2008-12-30 |
| 1689829970 | Life Center of America | Community/Behavioral Health | 1825 S Delno Ave, Fresno, CA 93706-3553 | 2008-12-01 |
| 1417162785 | Life Center of America | Community/Behavioral Health | 930 N Van Ness Ave, Fresno, CA 93728-3428 | 2007-05-11 |
| 1174761761 | Life Center of America | Community/Behavioral Health | 808 River St, Fillmore, CA 93015-1801 | 2009-02-04 |
| 1215182506 | Life Center of America | Community/Behavioral Health | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-12-01 |
| 1518113877 | Life Center of America | Community/Behavioral Health | 2210 S Thorne Ave, Fresno, CA 93706-4017 | 2008-08-18 |
| 1912173873 | Life Center of America | Counselor | 806 Collins Ave, Fresno, CA 93706-3706 | 2008-05-01 |
| 1316128713 | Life Center of America | Counselor | 930 N Van Ness Ave, Fresno, CA 93728-3428 | 2007-11-14 |
| Street Address |
1057 N ST |
| City | MERCED |
| State | CA |
| Zip Code | 95341-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
| Find all providers in zip 95341 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748348 | Rainbow Valley Group Home, Inc. | Community/Behavioral Health | 2831 G St, Merced, CA 95340-2133 | 2017-02-06 |
| 1306272240 | Mai K Yang | Community/Behavioral Health | 682 Laughlin Ln, Merced, CA 95341-5483 | 2013-09-24 |
| 1023327376 | Aspiranet | Community/Behavioral Health | 806 W 19th St, Merced, CA 95340-4609 | 2010-10-05 |
| 1689805756 | Aspiranet | Community/Behavioral Health | 3360 N Highway 59, Suite K, Merced, CA 95348-9404 | 2009-08-06 |
| 1417188749 | Aspira Behavioral Health | Community/Behavioral Health | 1820 P St, Merced, CA 95340-4630 | 2009-08-04 |
| 1619098274 | Turning Point Community Programs | Community/Behavioral Health | 3333 M St, Merced, CA 95348 | 2007-04-02 |
| 1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
| 1487277570 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-05-22 |
| 1255813374 | Leticia Jimenez-espinoza | Community/Behavioral Health | 627 W Main St, Merced, CA 95340-4717 | 2018-09-05 |
| 1629574777 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2018-04-05 |
| Find all providers in MERCED | ||||
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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.