10 ACRE RANCH (NPI# 1053724716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053724716 |
| Entity Type | Organization |
| Organization Name | 10 ACRE RANCH |
| Practice Address |
8605 Janet Ave Riverside CA 92503-9212 |
| Mailing Address |
5953 Grand Ave Riverside CA 92504-1369 |
| Practice Telephone | 8772284679 |
| Practice Fax Number | 9516026655 |
| Mailing Telephone | 8002667044 |
| Mailing Fax Number | 9517847084 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. ISMAIL JADALLAH (ADMINISTRATOR) |
| Authorized Official Telephone | 7148334826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | ========= | CA | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4175 Brockton Ave, Riverside, CA 925013442 | 8772284679 | 9516026655 |
| Street Address |
8605 JANET AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1437794252 | Promising Outlook | Substance Abuse Rehabilitation Facility | 4136 10th St, Riverside, CA 92501-3110 | 2019-11-15 |
| 1508372186 | Whiteside Manor, Inc. | Substance Abuse Rehabilitation Facility | 2759 Orange St, Riverside, CA 92501-2538 | 2017-12-19 |
| 1487177374 | Everlast Recovery Centers Inc | Substance Abuse Rehabilitation Facility | 6560 Sandy Ln, Riverside, CA 92505-2028 | 2017-07-21 |
| 1841664885 | Jacqueline Garcia | Substance Abuse Rehabilitation Facility | 10371 Hole Ave, Riverside, CA 92505-1747 | 2015-11-13 |
| 1952706319 | House On The Corner LLC The | Substance Abuse Rehabilitation Facility | 2709 Orange St, Riverside, CA 92501-2538 | 2014-10-28 |
| 1578962114 | Bluestone Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 | 2014-08-20 |
| 1598002123 | Big Bear Recovery Center | Substance Abuse Rehabilitation Facility | 16891 Alita Dr, Riverside, CA 92504-6209 | 2013-01-16 |
| 1376714048 | Mfi Recovery Center | Substance Abuse Rehabilitation Facility | 9999 County Farm Rd, Riverside, CA 92503-3506 | 2008-03-20 |
| 1285802165 | Pavisch Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 4241 Glenwood Dr, Riverside, CA 92501-3027 | 2008-02-13 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in RIVERSIDE | ||||
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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.