HEARTLAND WELLNESS AND RECOVERY CENTER (NPI# 1215378252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215378252 |
Entity Type | Organization |
Organization Name | HEARTLAND WELLNESS AND RECOVERY CENTER |
Practice Address |
1060 Estes St El Cajon CA 92020-7411 |
Practice Telephone | 6194405133 |
Practice Fax Number | 6194408522 |
Enumeration Date | 2013-07-06 |
Last Update Date | 2013-07-06 |
Authorized Official Name | LAUREN STERN (TRANIEE) |
Authorized Official Telephone | 4692352941 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 21147879 | TX | Agencies |
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Street Address |
1060 ESTES ST |
City | EL CAJON |
State | CA |
Zip Code | 92020-7411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376555797 | Judy Anne Davis | Social Worker | 1060 Estes St, El Cajon, CA 92020-7411 | 2006-08-13 |
1962965749 | Michael Johnson | Counselor | 1060 Estes St, El Cajon, CA 92020-7515 | 2019-04-09 |
1902392558 | Eduardo Chavez | Peer Specialist | 1060 Estes St, El Cajon, CA 92020-7515 | 2018-07-06 |
1780118562 | Teresa Ann Van Devere | Peer Specialist | 1060 Estes St, 104, El Cajon, CA 92020-7515 | 2017-04-18 |
1992188924 | Deborah Morris | Behavioral Analyst | 1060 Estes St, Suite 104, El Cajon, CA 92020-7411 | 2015-07-08 |
1508245127 | Dominic Frank Lopez | Licensed Vocational Nurse | 1060 Estes St, El Cajon, CA 92020-7411 | 2015-05-28 |
1730575812 | Virginia Delgado | Marriage & Family Therapist | 1060 Estes St, El Cajon, CA 92020-7411 | 2015-04-15 |
1790197226 | Erika Morgan | Student in an Organized Health Care Education/Training Program | 1060 Estes St, El Cajon, CA 92020-7411 | 2014-06-02 |
1174934335 | Sokia Shehee | Social Worker | 1060 Estes St, El Cajon, CA 92020-7411 | 2014-05-09 |
1356762025 | Sahira Hanna Somo | Registered Nurse | 1060 Estes St, El Cajon, CA 92020-7411 | 2013-12-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
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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 |
---|---|---|---|---|
1679699219 | Volunteers of America Southwest California | Community Based Residential Treatment Facility, Mental Illness | 9808 Hawley Rd., El Cajon, CA 92021 | 2007-03-22 |
1205952322 | Volunteers of America Southwest California | Community Based Residential Treatment Facility, Mental Illness | 290 S Magnolia Ave, El Cajon, CA 92020-4524 | 2007-03-21 |
1114248275 | Community Research Foundation | Community Based Residential Treatment Facility, Mental Illness | 1664 Broadway, El Cajon, CA 92021-5201 | 2010-06-11 |
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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 |
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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.