BOSS (NPI# 1104178508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104178508 |
| Entity Type | Organization |
| Organization Name | BOSS |
| Other Organization Name | CASA MARIA |
| Practice Address |
2280 San Pablo Ave Oakland CA 94612-1321 |
| Practice Telephone | 5108994200 |
| Mailing Telephone | 5108994200 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Authorized Official Name | MRS. MONICA CHAMBERS (TEAM LEADER) |
| Authorized Official Telephone | 5108994207 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | CASA MARIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Casa Maria | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811185150 | Boss | Case Management | 1820 Jefferson St, Oakland, CA 94612-1543 | 2007-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOSS | 3919 13th St. Nw, Washington, DC 20011-5633 |
| Iowa Business Entities | BOSS & ASSOCIATES, INC. | 4095 Hammontree Ct, Clive, IA 50325 |
| Colorado Business Entities | BOSS & ASSOCIATES, INC. | 4120 Inwood Rd, Fort Worth, TX 76109 |
| Colorado Business Entities | Boss & Co LLC | 2445 Junction Place, Unit #305, Boulder, CO 80301 |
| New York State Corporations | BOSS & COMPANY INTERNATIONAL LLC | 83 Speen St. 2nd Fl, Natick, Ma 017604168 |
| Colorado Business Entities | Boss & Mi, Inc. | 2200 W Alameda Ave, Suite 38, Denver, CO 80223 |
| Colorado Business Entities | Boss "N" Up Entertainment | 6193 Holland St, Arvada, CO 80004 |
| New York State Corporations | BOSS 1 PROPERTIES, LLC | 135-27 38th Ave, Ste 398, Flushing, Ny 11354 |
| Oregon Corporations, Companies and Business Names | BOSS 2 ENTERPRISES LLC | 6625 Se Duke St, Portland, OR 97206 |
| New York State Corporations | BOSS 32 INC. | 7 Windsor Road, Great Neck, New York 11021 |
| Street Address |
2280 SAN PABLO AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275846289 | Eunice Feathers | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2010-07-19 |
| 1578023339 | Connie Lynn Green | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2019-03-20 |
| 1881947299 | Courtney Suzanne Juarez | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2012-10-23 |
| 1023378734 | Tracy Lamar Lambert | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2012-05-29 |
| 1134402852 | Andrew Mitchell Lopas | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2011-09-20 |
| 1467732826 | Monica Elayne Chambers | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2011-08-17 |
| 1851681704 | Alice Lavelle | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2011-04-12 |
| 1962791400 | Lauren E. Moody | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2011-04-05 |
| 1558665059 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2010-12-27 |
| 1235431420 | Kaki Williams Marshall | Counselor | 2280 San Pablo Ave, Oakland, CA 94612-1321 | 2010-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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 |
| 1043587488 | Casa De La Vida | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2011-11-30 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.