OLIVE CREST (NPI# 1053861450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053861450 |
| Entity Type | Organization |
| Organization Name | OLIVE CREST |
| Practice Address |
42580 Caroline Ct Ste A Palm Desert CA 92211-9112 |
| Mailing Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
| Practice Telephone | 7603418507 |
| Practice Fax Number | 7603418613 |
| Mailing Telephone | 7145435437 |
| Mailing Fax Number | 7145435463 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | MR. DONALD A VERLEUR II (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7145435437 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 57111 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | LE0518 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1144865379 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1235774464 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1245875467 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1174168397 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1720551971 | Olive Crest | Community/Behavioral Health | 4510 E Pacific Coast Hwy Ste 450, Long Beach, CA 90804-6924 | 2019-01-09 |
| 1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
| 1659878809 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 13442 Malena Dr, Santa Ana, CA 92705-1912 | 2018-04-12 |
| 1366949513 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 19356 Saylor Terrace, Santa Ana, CA 92705 | 2018-04-12 |
| 1578060919 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 159 N Wheeler St, Orange, CA 92869-3217 | 2018-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OLIVE CREST | 2130 East 4th Street Ste 200, Santa Ana, CA 92705-3818 |
| Washington State Corporations | OLIVE CREST | 2500 116th Ave Ne, Bellevue, WA 98004 |
| Washington State Corporations | OLIVE CREST INVESTORS LLC | 720 Seneca St, Suite B, Seattle, WA 98101-3265 |
| System for Award Management (SAM) Entities | OLIVE CREST LEARNING TREE | 7180 N 60th St, Omaha, NE 68152-2207 |
| Street Address |
42580 CAROLINE CT STE A |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-9112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668265 | Jessica Lyn Fincher | Counselor | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2007-09-18 |
| 1295360394 | Olive Crest | Clinic/Center | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2020-03-09 |
| 1689212557 | Mary Huerta | Case Manager/Care Coordinator | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2019-12-11 |
| 1922646892 | Rachel Vela | Case Manager/Care Coordinator | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2019-12-11 |
| 1477100485 | Jacqueline Trejo | Case Manager/Care Coordinator | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2019-08-23 |
| 1851948392 | Rebeca Carrillo | Marriage & Family Therapist | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2019-08-20 |
| 1336665967 | Erin Elizabeth Eiland | Counselor | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2017-08-15 |
| 1982026159 | Angela Stresen-reuter | Marriage & Family Therapist | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2014-01-07 |
| 1689990202 | Olive Crest | Case Management | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| 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 |
|---|---|---|---|---|
| 1043829740 | Alexandro Fausto Sanchez | Community/Behavioral Health | 45480 Portola Ave, Palm Desert, CA 92260-4434 | 2020-07-28 |
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1386200483 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 34250 Gateway Dr Ste 100, Palm Desert, CA 92211-0856 | 2019-05-14 |
| 1538542808 | The Alef Group Ltd | Community/Behavioral Health | 77711 Flora Rd Ste 204, Palm Desert, CA 92211-4110 | 2015-07-06 |
| 1396990362 | Scion Counseling LLC | Community/Behavioral Health | 43585 Monterey Ave., Suite 4, Palm Desert, CA 92260-9398 | 2008-11-18 |
| 1811063050 | County of Riverside | Community/Behavioral Health | 74923 Hovley Ln E Fl 1, Palm Desert, CA 92260-1927 | 2006-11-28 |
| 1659933372 | Institute for Family Centered Services Inc., Dba California Mentor | Community/Behavioral Health | 41990 Cook St Ste 801a, Palm Desert, CA 92211-6103 | 2019-07-02 |
| 1750817383 | 417 Desert Cities, LLC | Community/Behavioral Health | 73271 Fred Waring Dr, Suite 103, Palm Desert, CA 92260-2883 | 2017-05-02 |
| 1417197963 | County of Riverside | Community/Behavioral Health | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
Please comment or provide details below to improve the information on OLIVE CREST.
| 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.