ENCOMPASS COMMUNITY SERVICES (NPI# 1174746408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174746408 |
| Entity Type | Organization |
| Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Other Organization Name | TELOS |
| Practice Address |
3035 Prather Ln Santa Cruz CA 95065-1801 |
| Mailing Address |
542 Ocean St Ste K Santa Cruz CA 95060-6622 |
| Practice Telephone | 8314764184 |
| Mailing Telephone | 8312263930 |
| Mailing Fax Number | 8314590665 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MS. MONICA MARTINEZ (CEO) |
| Authorized Official Telephone | 8314691700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 440707898 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DSS- COM. CARE LICENSING | 440707898 | 01 |
| Other Name | Type Code |
|---|---|
| Telos | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1972930097 | Encompass Community Services | Community/Behavioral Health | 530 Ocean St Ste B, Santa Cruz, CA 95060-6628 | 2013-10-03 |
| 1114225448 | Encompass Community Services | Community/Behavioral Health | 165 Harkins Slough Rd, Watsonville, CA 95076-4124 | 2011-03-10 |
| 1811175201 | Encompass Community Services | Clinic/Center | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2008-02-07 |
| 1538385562 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 125 Rigg St, Santa Cruz, CA 95060-4203 | 2007-04-18 |
| 1891911830 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 161 Miles Ln, Watsonville, CA 95076-3127 | 2007-04-18 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1760608707 | Encompass Community Services | Community/Behavioral Health | 585 Auto Center Dr Ste B, Watsonville, CA 95076-3764 | 2007-04-18 |
| 1447474853 | Encompass Community Services | Clinic/Center | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-04-13 |
| 1659594547 | Encompass Community Services | Community/Behavioral Health | 241 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ENCOMPASS COMMUNITY SERVICES | 380 Encinal St Ste 2000, Santa Cruz, CA 95060-2178 |
| Street Address |
3035 PRATHER LN |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241669 | Kerstin Kuebast | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2019-02-15 |
| 1194238147 | Charles Aaron Pippin | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2017-11-13 |
| 1174041677 | Sandy J Elder | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2017-09-05 |
| 1568815116 | Michael Noriega Jr. | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2016-07-19 |
| 1962738849 | Mason Schreck | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2009-10-27 |
| 1922243989 | Larry E Viera Vii | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2008-12-04 |
| 1093966582 | Joe Franco Garcia | Counselor | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2008-10-02 |
| 1932324316 | Federico D Ruotolo | Counselor | 3035 Prather Ln, 3035 Prather Lane, Santa Cruz, CA 95065-1801 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| 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 |
|---|---|---|---|---|
| 1598984650 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 707 Darwin St, Santa Cruz, CA 95062-2208 | 2007-04-25 |
| 1083969844 | Front Street | Community Based Residential Treatment Facility, Mental Illness | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2012-07-18 |
| 1922242734 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 303 Potrero St, Ste 103, Santa Cruz, CA 95060-2741 | 2009-04-23 |
| 1679790208 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 126 Front St, Santa Cruz, CA 95060-4402 | 2007-04-18 |
| 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 | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
Please comment or provide details below to improve the information on ENCOMPASS COMMUNITY SERVICES.
| 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.