PEACOCK ACRES, INC (NPI# 1114123965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114123965 |
Entity Type | Organization |
Organization Name | PEACOCK ACRES, INC |
Other Organization Name | PA 1 |
Practice Address |
251 Old Stage Rd Salinas CA 93908-9760 |
Practice Telephone | 8317543635 |
Practice Fax Number | 8317544733 |
Mailing Telephone | 8317543635 |
Mailing Fax Number | 8317544733 |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-07-30 |
Authorized Official Name | MR. ERNEST HOWARD (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8317543635 |
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 |
Other Name | Type Code |
---|---|
PA 1 | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922617067 | Peacock Acres, Inc | Community Based Residential Treatment Facility, Mental Illness | 20104 Belma Ct, Salinas, CA 93907-8406 | 2020-07-24 |
1497369979 | Peacock Acres, Inc | Psychiatric Residential Treatment Facility | 251 Old Stage Rd, Salinas, CA 93908-9760 | 2020-09-02 |
Street Address |
251 OLD STAGE RD |
City | SALINAS |
State | CA |
Zip Code | 93908-9760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497369979 | Peacock Acres, Inc | Psychiatric Residential Treatment Facility | 251 Old Stage Rd, Salinas, CA 93908-9760 | 2020-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
1841549920 | Cameron Edward English | Physical Therapist | 611 Abbott Street, Suite 100, Salinas, CA 93908 | 2012-09-05 |
1811265077 | Harriet Elaine Paskins | Counselor | 124 River Rd., Salinas, CA 93908 | 2011-12-02 |
1184924029 | Qualium Corp | Clinic/Center | 18275 Meadow Song Way, Salinas, CA 93908 | 2010-10-26 |
1831366418 | Carl J Lindblad | Counselor | 124 River Road, Kinship Center, Salinas, CA 93908 | 2008-05-13 |
1235358797 | Pamela May Rogers | Social Worker | 19375 Acclaim Drive, Salinas, CA 93908 | 2007-04-24 |
1932293784 | Alliance Home Health Inc | Home Health | 19045 Portola Dr, Ste B, Salinas, CA 93908 | 2006-10-03 |
1407331317 | Andrea Aiello | Dietitian, Registered | 47 San Benancio Rd, A.b. Ingham Medical Therapy Unit, Salinas, CA 93908 | 2018-09-26 |
1871018952 | Norma Lee Smith | Counselor | 124 River Road, Salinas, CA 93908 | 2017-08-09 |
1619245842 | Shawndreya Garliepp | Technician, Other | 124 River Road, Salinas, CA 93908 | 2011-12-02 |
Find all providers in zip 93908 |
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 |
---|---|---|---|---|
1922617067 | Peacock Acres, Inc | Community Based Residential Treatment Facility, Mental Illness | 20104 Belma Ct, Salinas, CA 93907-8406 | 2020-07-24 |
1154561405 | Andrew E Salaz | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St Ste A, Salinas, CA 93901-2408 | 2009-02-26 |
1598921579 | Door To Hope | Community Based Residential Treatment Facility, Mental Illness | 1929 Oxford Ct, Salinas, CA 93906-2184 | 2008-07-30 |
1740445816 | Unity Care Group, Inc. | Community Based Residential Treatment Facility, Mental Illness | 680 Harrison Rd, Salinas, CA 93907-1660 | 2008-07-28 |
1932324381 | Interim, Incorporated | Community Based Residential Treatment Facility, Mental Illness | 200 Casentini St, Salinas, CA 93907-2299 | 2007-04-13 |
1780034884 | Josefina Lara Chavez | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St, Salinas, CA 93901-2408 | 2016-06-20 |
1013254747 | Peacock Acres | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St, Ste A, Salinas, CA 93901-2408 | 2013-01-15 |
1831483833 | Peacock Acres Inc. | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St, Ste A, Salinas, CA 93901-2408 | 2011-06-07 |
1518132455 | Unity Care Group, Inc. | Community Based Residential Treatment Facility, Mental Illness | 684 Harrison Rd, Salinas, CA 93907-1660 | 2008-04-22 |
1770795452 | Nancy Gonzalez | Community Based Residential Treatment Facility, Mental Illness | 638 Argentine Dr, Salinas, CA 93905-3052 | 2007-05-04 |
Find all providers in SALINAS |
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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.