TAJ TREATMENT CENTERS, INC. (NPI# 1225566847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225566847 |
| Entity Type | Organization |
| Organization Name | TAJ TREATMENT CENTERS, INC. |
| Practice Address |
979 E Washington Blvd Pasadena CA 91104-2439 |
| Practice Telephone | (626) 765-9558 |
| Mailing Telephone | 6267659558 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | MR. JIMMIE CHARLES ANDREWS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6266447525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
979 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| 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 |
|---|---|---|---|---|
| 1902432636 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8001 Leeland Dr, Pasadena, MD 21122-2495 | 2020-03-13 |
| 1154964880 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003a Leeland Dr, Pasadena, MD 21122-2495 | 2019-10-25 |
| 1326694134 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003 Leeland Dr, Pasadena, MD 21122-2495 | 2019-08-16 |
| 1609305069 | Opportunity Ministries, Inc. | Substance Abuse Rehabilitation Facility | 212 Sillery Bay Road, Pasadena, MD 21122-5946 | 2017-06-08 |
| 1750821773 | I Am Treatment Sanctuaries, Inc. | Substance Abuse Rehabilitation Facility | 651 Castano Ave, Pasadena, CA 91107-2703 | 2017-02-24 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1750798245 | Tranquility Woods LLC | Substance Abuse Rehabilitation Facility | 171a Ryan Rd, Pasadena, MD 21122-4541 | 2014-07-16 |
| 1841635737 | Houston Substance Abuse Clinic @ Pasadena, Inc. | Substance Abuse Rehabilitation Facility | 5825 Spencer Hwy, Pasadena, TX 77087 | 2013-05-06 |
| 1235472721 | Elijah's House Tx Corp | Substance Abuse Rehabilitation Facility | 1617 Asbury Dr, Pasadena, CA 91104-3113 | 2013-04-03 |
| 1962542274 | Principles Inc | Substance Abuse Rehabilitation Facility | 1680 N Fair Oaks Ave, Pasadena, CA 91103-1642 | 2007-02-07 |
| Find all providers in PASADENA | ||||
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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.