OLIVE CREST (NPI# 1174168397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174168397 |
| Entity Type | Organization |
| Organization Name | OLIVE CREST |
| Practice Address |
20051 Vista Del Lago Ste B Perris CA 92570-7170 |
| Mailing Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
| Practice Telephone | 9512381936 |
| Mailing Telephone | 7145435437 |
| Mailing Fax Number | 7145435463 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | DONALD VERLEUR (CEO) |
| Authorized Official Telephone | 7145435437 |
| Authorized Official Credential | MBA |
| 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 |
| 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 |
| 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 |
| 1194222547 | Olive Crest | Community/Behavioral Health | 275 Victoria St Ste 2m, Costa Mesa, CA 92627-1906 | 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 |
20051 VISTA DEL LAGO STE B |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-7170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1285288316 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 23115 Rider St, Perris, CA 92570-9723 | 2019-07-26 |
| 1902082712 | Victor Treatment Centers, Inc | Community Based Residential Treatment Facility, Mental Illness | 555 N Perris Blvd, Perris, CA 92571-2811 | 2008-01-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.