HARBORVIEW CENTER LLC (NPI# 1043777907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043777907 |
| Entity Type | Organization |
| Organization Name | HARBORVIEW CENTER LLC |
| Practice Address |
490 W 14th St Long Beach CA 90813-2943 |
| Mailing Address |
2120 Alpine Blvd Alpine CA 91901-2113 |
| Practice Telephone | 6196593188 |
| Mailing Telephone | 6194452644 |
| Mailing Fax Number | 6194450444 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | KRISTINE TIERNAN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6196593188 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
490 W 14TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396791463 | Sunbridge Harbor View Rehabilitation Center LLC | Skilled Nursing Facility | 490 W 14th St, Long Beach, CA 90813-2943 | 2006-05-26 |
| 1538610563 | Chi Man Ho | Nurse Practitioner | 490 W 14th St, Long Beach, CA 90813-2943 | 2016-10-14 |
| 1457698474 | Secret Young | Counselor | 490 W 14th St, Long Beach, CA 90813-2943 | 2013-01-10 |
| 1902175433 | Flavia Luresi Sanchez | Rehabilitation Practitioner | 490 W 14th St, Long Beach, CA 90813-2943 | 2011-12-29 |
| 1497024939 | Rosalyn Omoruyi | Rehabilitation Practitioner | 490 W 14th St, Long Beach, CA 90813-2943 | 2011-12-28 |
| 1912289232 | Erin Scott | Counselor | 490 W 14th St, Long Beach, CA 90813-2943 | 2011-09-13 |
| 1336432830 | Saksy Sengamphan | Rehabilitation Practitioner | 490 W 14th St, Long Beach, CA 90813-2943 | 2011-05-17 |
| 1417251752 | Olamae Wells | Rehabilitation Practitioner | 490 W 14th St, Long Beach, CA 90813-2943 | 2010-12-30 |
| 1831499649 | Mary Elizabeth Jakobsen | Counselor | 490 W 14th St, Long Beach, CA 90813-2943 | 2010-10-26 |
| 1710201017 | Chantell Lacy Roberts | Rehabilitation Practitioner | 490 W 14th St, Long Beach, CA 90813-2943 | 2010-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| 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 |
|---|---|---|---|---|
| 1013556471 | Solta Development LLC | Community Based Residential Treatment Facility, Mental Illness | 4201 E 10th St, Long Beach, CA 90804-5508 | 2020-01-03 |
| 1477906741 | Heritage Board Care #3 | Community Based Residential Treatment Facility, Mental Illness | 2900 E 7th St, Long Beach, CA 90804-4816 | 2016-07-21 |
| 1215251483 | Choices of Long Beach, Inc. | Community Based Residential Treatment Facility, Mental Illness | 701 Dawson Ave, Long Beach, CA 90804-4529 | 2010-03-17 |
| 1578887865 | Choices of Long Beach, Inc. | Community Based Residential Treatment Facility, Mental Illness | 840 Walnut Ave, Units A-d, Long Beach, CA 90813-6302 | 2010-03-16 |
| 1205160710 | Prudent Comfort Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 4809 Hersholt Ave, Long Beach, CA 90808-1130 | 2009-09-30 |
| 1770756462 | Rosewood Adult Residential Facilities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 476 Almond Ave, Long Beach, CA 90802-1845 | 2008-04-02 |
| 1568996254 | Olga Rojas | Community Based Residential Treatment Facility, Mental Illness | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2017-04-19 |
| 1528418837 | Heritage Board & Care #2 | Community Based Residential Treatment Facility, Mental Illness | 2445 Pacific Ave, Long Beach, CA 90806-2901 | 2016-06-17 |
| 1285084509 | Heritage Board & Care #4 | Community Based Residential Treatment Facility, Mental Illness | 1509 E 4th St, Long Beach, CA 90802-1806 | 2016-06-17 |
| 1821468695 | Gussie Love | Community Based Residential Treatment Facility, Mental Illness | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2015-10-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on HARBORVIEW CENTER LLC.
| 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.