ELEKARIM RESIDENTIAL CARE HOME (NPI# 1235328337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235328337 |
Entity Type | Organization |
Organization Name | ELEKARIM RESIDENTIAL CARE HOME |
Practice Address |
1785 Henry Long Blvd Stockton CA 95206-6376 |
Practice Telephone | 2099838093 |
Practice Fax Number | 2093235504 |
Mailing Telephone | 2099838093 |
Mailing Fax Number | 2093235504 |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-10-15 |
Authorized Official Name | MRS. ELEANOR BAINDU ALLIEU (ADMINISTRATOR) |
Authorized Official Telephone | 2099838093 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | CA | Residential Treatment Facilities |
Street Address |
1785 HENRY LONG BLVD |
City | STOCKTON |
State | CA |
Zip Code | 95206-6376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
Find all providers in zip 95206 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578749149 | Peebles Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 North Broadway Ave, Stockton, CA 95205 | 2008-01-14 |
1386833812 | Venus Basto Narvarte | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3510 Windham Cir, Stockton, CA 95209-1137 | 2007-10-22 |
1568679223 | Carcido's Icf 3 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2721 Jimenez Way, Stockton, CA 95209-1774 | 2007-05-16 |
1992912513 | Carcido's Icf 5 (j&m) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1905 Amberwood Ct, Stockton, CA 95207-8812 | 2007-05-16 |
1033326798 | Carcido's Icf 2 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1949 Wagner Heights Rd, Stockton, CA 95209-1846 | 2007-05-16 |
1447466321 | Carcido's Icf 1 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8514 Colonial Dr, Stockton, CA 95209-2321 | 2007-05-15 |
1063628972 | Carcido's Icf 4 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8344 Chevalier Way, Stockton, CA 95210-2277 | 2007-05-15 |
1932247541 | Marcies Manor IIi Icf | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1528 Venetian Dr, Stockton, CA 95207-5422 | 2007-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538776323 | Calston Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 44661 Calston Ave, Lancaster, CA 93535-3430 | 2020-09-25 |
1457966822 | Invincible Villas, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27539 Glasser Ave, Canyon Country, CA 91351-2039 | 2020-09-12 |
1528671633 | Eliaa, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1229 Kelley Avenue, Corona, CA 92882-4207 | 2020-08-28 |
1902417090 | Kavere Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 531 N Mills Ave, Lodi, CA 95242-2220 | 2020-08-12 |
1568071488 | Jnp Residential | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1518 S Wadsworth Ave, Compton, CA 90220-3951 | 2020-07-27 |
1043833734 | E&s Jensen Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9629 Ridgerock Dr, Elk Grove, CA 95624-4461 | 2020-05-28 |
1124663588 | The Caring Bunch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4355 Sepulveda Blvd Apt 125, Sherman Oaks, CA 91403-3911 | 2019-11-08 |
1821655507 | Creative Lifestyles Home Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1022 W Florence Ave, Los Angeles, CA 90044-2442 | 2019-05-28 |
1386160562 | Blueprint Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Sycamore Ln, Palmdale, CA 93551-1518 | 2017-08-18 |
1427592963 | Carissa Group Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1048 Stowell Ranch Cir, Corona, CA 92881-4739 | 2016-12-16 |
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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.