ELAN SENIOR LIVING (NPI# 1225241433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225241433 |
| Entity Type | Organization |
| Organization Name | ELAN SENIOR LIVING |
| Other Organization Name | THE LIVING CENTER |
| Practice Address |
4410 N Pershing Ave Suite C-1 Stockton CA 95207-6900 |
| Mailing Address |
4410 N Persing Suite C-1 Stockton CA 95204-4404 |
| Practice Telephone | 2094770265 |
| Practice Fax Number | 2094770292 |
| Mailing Telephone | 2094770265 |
| Mailing Fax Number | 2094770292 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROD M NEWHALL (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2094770265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OTHER | 004929 | 01 |
| Other Name | Type Code |
|---|---|
| The Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477741528 | Elan Senior Living | Substance Abuse Rehabilitation Facility | 1717 Coffee Rd, Suite A, Modesto, CA 95355-2808 | 2007-10-12 |
| Street Address |
4410 N PERSHING AVE SUITE C-1 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891840179 | Kari M Brathen Bucklew | Physical Therapist | 4410 N Pershing Ave, Stockton, CA 95207-6900 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1386123719 | Alcohol & Drug Awareness Program | Substance Abuse Rehabilitation Facility | 1981 Cherokee Rd, Stockton, CA 95205-2720 | 2018-08-07 |
| 1811395288 | Pacific Center for Addiction Services Inc. | Substance Abuse Rehabilitation Facility | 808 N Center St, Stockton, CA 95202-1610 | 2014-12-16 |
| 1528335791 | Stockton Circle of Friends Adult Programs | Substance Abuse Rehabilitation Facility | 3120 E Anita St, Stockton, CA 95205-3905 | 2011-11-16 |
| 1588295265 | Regina Prado | Substance Abuse Rehabilitation Facility | 1212 N California St, Stockton, CA 95202-1552 | 2020-01-30 |
| 1619477239 | Aegis Treatment Center | Substance Abuse Rehabilitation Facility | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-02-20 |
| 1225494776 | South Stockton Circle of Friends Adult Alcohol and Drug Treatment Fac. | Substance Abuse Rehabilitation Facility | 1484 Carpenter Rd, Stockton, CA 95206-3805 | 2016-01-13 |
| 1831354786 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 1609 N Wilson Way, Stockton, CA 95205-3119 | 2008-07-21 |
| 1578736062 | El Dorado House | Substance Abuse Rehabilitation Facility | 1700 S El Dorado St, Stockton, CA 95206-2000 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 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 | ||||
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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.