COAST VALLEY WORSHIP CENTER (NPI# 1184080574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184080574 |
| Entity Type | Organization |
| Organization Name | COAST VALLEY WORSHIP CENTER |
| Other Organization Name | COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER |
| Practice Address |
830 W Church St Santa Maria CA 93458-4222 |
| Practice Telephone | 8053323648 |
| Mailing Telephone | 8053323648 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | EDWIN MATTHEW HAMLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8057391512 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Coast Valley Substance Abuse Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598217416 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 300 W Willow Ave, Lompoc, CA 93436-7724 | 2016-10-26 |
| 1548383110 | Coast Valley Worship Center | Clinic/Center | 133 N F St, Lompoc, CA 93436-6033 | 2007-04-09 |
| 1336266386 | Coast Valley Worship Center | Case Management | 1125 E Clark Ave, Ste A2, Santa Maria, CA 93455-5111 | 2007-03-23 |
| 1770035644 | Coast Valley Worship Center | Substance Abuse Rehabilitation Facility | 133 N F St, Ste A, Lompoc, CA 93436-6033 | 2016-10-26 |
| 1104200773 | Coast Valley Worship Center | Clinic/Center | 1414 S Miller St, Ste 10 and 11, Santa Maria, CA 93454-6923 | 2015-07-14 |
| 1568845543 | Coast Valley Worship Center | Clinic/Center | 1133 N H St, Ste F, Lompoc, CA 93436-3368 | 2015-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COAST VALLEY WORSHIP CENTER | 1414 S Miller St Ste 11, Santa Maria, CA 93455-6916 |
| Street Address |
830 W CHURCH ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| 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] |
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| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
Please comment or provide details below to improve the information on COAST VALLEY WORSHIP CENTER.
| 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.