TELECARE CORPORATION (NPI# 1124100383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124100383 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Other Organization Name | TELECARE SAN BERNARDINO ACT |
| Practice Address |
2080 S E St Ste 100 San Bernardino CA 92408-2706 |
| Mailing Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 |
| Practice Telephone | 9093889191 |
| Practice Fax Number | 9093889195 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | CR722H | 01 |
| CA | COUNTY MENTAL HEALTH CERTIFICATE | 36CH | 01 |
| Other Name | Type Code |
|---|---|
| Telecare San Bernardino ACT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1932754033 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 7821 English Hills Rd, Vacaville, CA 95688-9543 | 2019-08-06 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1609340769 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 12956 Alta Mesa Rd, Herald, CA 95638-8309 | 2019-01-11 |
| 1952880825 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 24 W Cypress Pl, Oakley, CA 94561-2258 | 2018-08-10 |
| 1619476892 | Telecare Corporation | Psychiatric Residential Treatment Facility | 298 Bernal Rd Ste A, San Jose, CA 95119-1809 | 2018-02-02 |
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELECARE CORPORATION | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 |
| Colorado Business Entities | Telecare Corporation | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501 |
| Street Address |
2080 S E ST STE 100 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811365109 | Bryien Barahona | Licensed Vocational Nurse | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2015-09-03 |
| 1265704993 | Yesenia Castaneda | Specialist | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2012-01-26 |
| 1548562507 | Kathleen Ertter | Counselor | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2010-11-24 |
| 1346558624 | Rachel Woll | Counselor | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2010-09-20 |
| 1922314426 | La Nita Day Holder | Social Worker | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2010-08-23 |
| 1538471750 | Shelley Jean Levin | Social Worker | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2010-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1346850211 | County of San Bernardino | Clinic/Center | 658 E Brier Dr, San Bernardino, CA 92408-2880 | 2020-08-05 |
| 1497310593 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2019-05-03 |
| 1952865511 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2019-01-29 |
| 1326444662 | Telecare Corporation | Clinic/Center | 2080 S E St, Suite 200, San Bernardino, CA 92408-2773 | 2014-11-14 |
| 1427385558 | County of San Bernardino | Clinic/Center | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2009-11-10 |
| 1609101344 | Core San Bernardino | Clinic/Center | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2009-10-14 |
| 1609046002 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 250, San Bernardino, CA 92408-2706 | 2008-03-03 |
| 1760651178 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2008-02-29 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on TELECARE CORPORATION.
| 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.