GOOD SAMARITAN SHELTER (NPI# 1043640824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043640824 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN SHELTER |
| Other Organization Name | CASA DE FAMILIA TREATMENT CENTER |
| Practice Address |
403 W Morrison Ave Santa Maria CA 93458 |
| Mailing Address |
403 W Morrison Ave Santa Maria CA 93458-8166 |
| Practice Telephone | 8053468185 |
| Mailing Telephone | 8053468185 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | DONNA FLORES (DIRECTOR OF TREATMENT) |
| Authorized Official Telephone | 8053468185 |
| Authorized Official Credential | CATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Casa De Familia Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962058297 | Good Samaritan Shelter | Substance Abuse Rehabilitation Facility | 608 W Ocean Ave, Lompoc, CA 93436-6630 | 2019-08-13 |
| 1225521123 | Good Samaritan Shelter | Community/Behavioral Health | 104 S C St Ste A, Lompoc, CA 93436-6924 | 2018-06-14 |
| 1316430218 | Good Samaritan Shelter | Community/Behavioral Health | 403b W Morrison Ave, Santa Maria, CA 93458-6118 | 2018-06-14 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1750416632 | Good Samaritan Shelter | Community/Behavioral Health | 412b E Tunnell St, Santa Maria, CA 93454-4146 | 2007-02-22 |
| 1699800367 | Good Samaritan Shelter | Community/Behavioral Health | 401 W Morrison Ave Ste B, Santa Maria, CA 93458-6124 | 2007-02-22 |
| 1689717258 | Good Samaritan Shelter | Community/Behavioral Health | 245 Inger Dr, Ste 103b, Santa Maria, CA 93454-8669 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SAMARITAN SHELTER | 245 E Inger Dr Ste 103b, Santa Maria, CA 93454-8669 |
| Street Address |
403 W MORRISON AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972051 | Rachel Ann Mallory | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458-8166 | 2020-05-05 |
| 1366904245 | Melissa Ann Hensiek | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458-8166 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| 1336327071 | Annelie S Purdy Phd Inc | Psychologist | 433 So Lincoln Street, Annelie S Purdy Phd Inc, Santa Maria, CA 93458 | 2008-02-05 |
| Find all providers in zip 93458 | ||||
| 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 |
|---|---|---|---|---|
| 1184080574 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 830 W Church St, Santa Maria, CA 93458-4222 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.