CASA DE LA VIDA (NPI# 1043587488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043587488 |
| Entity Type | Organization |
| Organization Name | CASA DE LA VIDA |
| Practice Address |
421 Fairmount Ave Oakland CA 94611-5534 |
| Practice Telephone | 5108393769 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | TERESA SHEPARD (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 5108393769 |
| Is Organization Subpart | Y |
| Parent Organization Name | BERKELEY PLACE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
421 FAIRMOUNT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548471881 | Berkeley Place, Inc. | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2007-05-25 |
| 1780240291 | Maribel Socorro Lopez | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2019-05-10 |
| 1265997027 | Ruby Esther Goldberg | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2019-02-06 |
| 1508357815 | Kahlia Nichelle Hawkins | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2018-05-22 |
| 1407231731 | Hasina Mae Crump | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2015-07-28 |
| 1780013342 | Tara Bredesen | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-11-04 |
| 1174969141 | Crystal Renee Moore | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-05-17 |
| 1831436963 | Daniel Jesus-duprix Davis-hardin | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-01-09 |
| 1760742563 | Allyson L Hurlburt | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2012-05-25 |
| 1376817007 | Jennifer Kim | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2012-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497220784 | Bay Area Community Services Inc | Community Based Residential Treatment Facility, Mental Illness | 516 31st St, Oakland, CA 94609-3204 | 2018-10-12 |
| 1497247977 | Sister-to-sister 2, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2363a San Pablo Ave, Oakland, CA 94612-1136 | 2018-05-31 |
| 1548471881 | Berkeley Place, Inc. | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2007-05-25 |
| 1447385695 | Seneca Center | Community Based Residential Treatment Facility, Mental Illness | 1626 27th Ave, Oakland, CA 94601-1612 | 2007-02-21 |
| 1598312738 | Bay Area Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 516 31st St, Oakland, CA 94609-3204 | 2019-08-22 |
| 1366996159 | Bibett Corporation | Community Based Residential Treatment Facility, Mental Illness | 1342 E 27th St, Oakland, CA 94606-3266 | 2016-08-09 |
| 1104178508 | Boss | Community Based Residential Treatment Facility, Mental Illness | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2012-10-09 |
| 1528215894 | Asian Community Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 310 8th St, 201, Oakland, CA 94607-6526 | 2008-08-19 |
| 1871679027 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 2633 E 27th St, Oakland, CA 94601-1912 | 2006-10-31 |
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|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.