HEALTHRIGHT 360 (NPI# 1144587379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144587379 |
| Entity Type | Organization |
| Organization Name | HEALTHRIGHT 360 |
| Other Organization Name | WOMEN'S RECOVERY ASSOCIATION - LAUREL HOUSE |
| Practice Address |
900 Laurel Ave San Mateo CA 94401-4211 |
| Mailing Address |
1735 Mission St San Francisco CA 94103-2417 |
| Practice Telephone | 6503478808 |
| Mailing Telephone | 4157623712 |
| Mailing Fax Number | 4158650119 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | VITKA EISEN (CEO) |
| Authorized Official Telephone | 4157621558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 410043FN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Women's Recovery Association - Laurel House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459716 | Healthright 360 | Clinic/Center | 33440 Alvarado Niles Rd, Union City, CA 94587-3110 | 2020-05-19 |
| 1265070767 | Healthright 360 | Clinic/Center | 1202 Mariner Dr, San Francisco, CA 94130-1210 | 2019-12-16 |
| 1467829374 | Healthright 360 | Substance Abuse Rehabilitation Facility | 1318 Gateview Ave # Ti, San Francisco, CA 94130-1418 | 2015-08-26 |
| 1558737825 | Healthright 360 | Substance Abuse Rehabilitation Facility | 12423 Dahlia Ave, El Monte, CA 91732-3611 | 2015-08-20 |
| 1194138347 | Healthright 360 | Clinic/Center | 521 South Grand View Street, Los Angeles, CA 90057 | 2014-06-05 |
| 1407118805 | Healthright 360 | Community Based Residential Treatment Facility, Mental Illness | 27 N Humboldt St, Unit A & Unit B, San Mateo, CA 94401-2923 | 2012-06-12 |
| 1043578198 | Healthright 360 | Clinic/Center | 555 Franklin St, San Francisco, CA 94102-4456 | 2012-04-26 |
| 1295092815 | Healthright 360 | Clinic/Center | 2290 14th Ave, San Francisco, CA 94116-1841 | 2012-04-20 |
| 1679848873 | Healthright 360 | Clinic/Center | 350 Girard St, San Francisco, CA 94134-1469 | 2012-03-20 |
| 1083984959 | Healthright 360 | Clinic/Center | 3300 Quimby Rd, San Jose, CA 95148-3122 | 2012-01-09 |
| Street Address |
900 LAUREL AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407982770 | Christianne Bijasa Kernes | Marriage & Family Therapist | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2007-02-23 |
| 1053967661 | Anthony Mccrory | Substance Abuse Rehabilitation Facility | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-08-11 |
| 1720633050 | Vircelito A. Domenden I | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-08-05 |
| 1043879026 | Edgardo Omar Paz Nah | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-06-12 |
| 1578026829 | Jason Lawrence Jones | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-04-12 |
| 1518474840 | Sarona T Faatai | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2018-01-09 |
| 1568994770 | Darryl Hall | Counselor | 900 Laurel Ave, 900 Laurel Ave, San Mateo, CA 94401-4211 | 2017-03-28 |
| 1861930885 | Paulette Dow | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2017-02-09 |
| 1467803635 | Makayla Cowan | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| 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 |
|---|---|---|---|---|
| 1164853644 | Caminar | Substance Abuse Rehabilitation Facility | 247 Delaware Avenue, San Mateo, CA 94401 | 2013-12-09 |
| 1154752103 | Caminar | Substance Abuse Rehabilitation Facility | 31 9th Ave, San Mateo, CA 94401-4302 | 2013-12-02 |
| 1659702561 | Caminar | Substance Abuse Rehabilitation Facility | 1451 Young St, San Mateo, CA 94401-3522 | 2013-12-02 |
| 1356772263 | Caminar | Substance Abuse Rehabilitation Facility | 23 N Grant St, 29 N Grant St, San Mateo, CA 94401 | 2013-12-02 |
| 1215368253 | Caminar | Substance Abuse Rehabilitation Facility | 114 Delaware Street, San Mateo, CA 94401 | 2013-12-02 |
| 1689961617 | Horizon Services, Incorporated | Substance Abuse Rehabilitation Facility | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2011-06-28 |
| 1891962692 | Caminar | Substance Abuse Rehabilitation Facility | 15 9th Ave, San Mateo, CA 94401-4302 | 2008-05-12 |
| 1053967661 | Anthony Mccrory | Substance Abuse Rehabilitation Facility | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-08-11 |
| 1992137798 | Caminar | Substance Abuse Rehabilitation Facility | 720 S B St, San Mateo, CA 94401-4245 | 2013-08-02 |
| 1316209711 | Healthright 360 | Substance Abuse Rehabilitation Facility | 202 E Bellevue Ave, San Mateo, CA 94401-2305 | 2012-06-12 |
| Find all providers in SAN MATEO | ||||
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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.