PROVIDENCE COMMUNITY SERVICES (NPI# 1225457096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225457096 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE COMMUNITY SERVICES |
| Practice Address |
41593 Winchester Rd Suite #200 Temecula CA 92590-4860 |
| Mailing Address |
4281 Katella Ave Suite #201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 5624675577 |
| Practice Fax Number | 5624675553 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | MICHELLE MOLNAR (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5624675577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973073 | Providence Community Services | Community/Behavioral Health | 41 Crystal St, Apt 4, East Stroudsburg, PA 18301-2874 | 2015-06-02 |
| 1386063055 | Providence Community Services | Counselor | 2425 Olympic Blvd, Suite #4000-w, Santa Monica, CA 90404-4030 | 2014-04-10 |
| 1699194209 | Providence Community Services | Counselor | 2600 Michelson Dr, Suite #1700, Irvine, CA 92612-1550 | 2014-04-10 |
| 1124447750 | Providence Community Services | Counselor | 1140 W. Bernardo Court, Suite #300, San Diego, CA 92127 | 2014-04-10 |
| 1205255825 | Providence Community Services | Counselor | 500 N State College Blvd, Suite #1100, Orange, CA 92868-1604 | 2014-04-10 |
| 1063831931 | Providence Community Services | Counselor | 21550 Oxnard St, 3rd Floor, Woodland Hills, CA 91367-7100 | 2014-04-08 |
| 1245659135 | Providence Community Services | Counselor | 16755 Von Karman Ave, Suite #300, Irvine, CA 92606-4930 | 2014-04-08 |
| 1053730945 | Providence Community Services | Counselor | 18101 Von Karman Ave, 3rd Floor, Irvine, CA 92612-1012 | 2014-04-08 |
| 1710306600 | Providence Community Services | Counselor | 26632 Towne Centre Dr, Suite #300, Foothill Ranch, CA 92610-2813 | 2014-04-08 |
| 1255754784 | Providence Community Services | Social Worker | 3890 11th. Street, Suite 118, Riverside, CA 92501 | 2014-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PROVIDENCE COMMUNITY SERVICES OF COLORADO, INC. | 515 Greenwood Ave, Canyon City, CO 81212 |
| Street Address |
41593 WINCHESTER RD SUITE #200 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407813785 | Nizar Salek | Internal Medicine | 41593 Winchester Rd, Suite 103, Temecula, CA 92590-4860 | 2006-04-28 |
| 1881209013 | Wgdf Healthcare LLC | Home Health | 41593 Winchester Rd, Temecula, CA 92590-4860 | 2020-09-14 |
| 1134699333 | A Living Chance Clinical Trials, Inc | General Practice | 41593 Winchester Rd, Temecula, CA 92590-4860 | 2018-11-29 |
| 1104365956 | Delta Inland Valley Home Health Care, Inc. | Home Health | 41593 Winchester Rd, Ste 217, Temecula, CA 92590-4860 | 2017-02-13 |
| 1316491707 | Aria Desroberts | Psychologist | 41593 Winchester Rd, Temecula, CA 92590-4860 | 2016-08-15 |
| 1033562418 | Jwm Forever LLC | Hospice Care, Community Based | 41593 Winchester Rd, Suite 200, Temecula, CA 92590-4860 | 2016-07-20 |
| 1669863429 | Samantha Fromstein | Nurse Practitioner | 41593 Winchester Rd, Suite 101, Temecula, CA 92590-4860 | 2015-02-13 |
| 1104162130 | Michael Luther Dds Inc | Dentist | 41593 Winchester Rd, 214, Temecula, CA 92590-4860 | 2012-12-19 |
| 1487909776 | Valley Hospice Care, LLC | Hospice Care, Community Based | 41593 Winchester Rd, 200, Temecula, CA 92590-4860 | 2012-07-23 |
| 1003189465 | Delta Hospice of Inland Valley, Inc | Hospice Care, Community Based | 41593 Winchester Rd, Suite 215, Temecula, CA 92590-4860 | 2012-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416310 | Outside The Norm Counseling, Inc. | Counselor | 27403 Ynez Rd Ste 204, Temecula, CA 92591-4616 | 2020-01-23 |
| 1003394750 | Joaquin Patrick Casanas IIi | Counselor | 40925 County Center Dr Ste 2002nd, Temecula, CA 92591-6054 | 2018-08-03 |
| 1427554807 | April Dawn Jones | Counselor | 43234 Business Park Dr Ste 105, Temecula, CA 92590-3604 | 2018-04-04 |
| 1538672381 | Whitney Ann Schlife | Counselor | 43391 Business Park Dr Ste C3, Temecula, CA 92590-3694 | 2017-11-14 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| 1164978409 | Susan Rollins-swantusch | Counselor | 41002 County Circle Dr., Suite 320, Temecula, CA 92591 | 2016-08-28 |
| 1508224429 | Deanne Allen Perry | Counselor | 43164 Corte Montilla, Temecula, CA 92592-3630 | 2016-02-05 |
| 1346610953 | China Long | Counselor | 27780 Jefferson Ave Ste M, Temecula, CA 92590-2670 | 2015-09-25 |
| 1871912949 | Vincent Shanks | Counselor | 44415 Kingston Dr, Temecula, CA 92592-5621 | 2014-04-15 |
| Find all providers in TEMECULA | ||||
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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.