THE WEST OAKLAND HEALTH COUNCIL (NPI# 1235352444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235352444 |
Entity Type | Organization |
Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
Practice Address |
451 28th St Oakland CA 94609-3602 |
Mailing Address |
700 Adeline St Oakland CA 94607-2608 |
Practice Telephone | 5102734900 |
Mailing Telephone | 5108359610 |
Mailing Fax Number | 5102720209 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2017-05-17 |
Authorized Official Name | MR. BENJAMIN F. PETTUS (CEO) |
Authorized Official Telephone | 5108359610 |
Is Organization Subpart | Y |
Parent Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982841938 | The West Oakland Health Council | Clinic/Center | 3007 Telegraph Ave # B, Options for Recovery, Oakland, CA 94609-3205 | 2009-01-13 |
1689825366 | The West Oakland Health Council | Clinic/Center | 2730 Adeline Street, Oakland, CA 94607 | 2008-10-01 |
1508987652 | The West Oakland Health Council | Clinic/Center | 7501 International Blvd, Oakland, CA 94621 | 2007-04-03 |
1679522627 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2006-05-08 |
1528540838 | The West Oakland Health Council | Pharmacy | 7450 International Blvd, Oakland, CA 94621-2806 | 2018-09-04 |
1164973491 | The West Oakland Health Council | Community/Behavioral Health | 8251 Fontaine St, Oakland, CA 94605-4109 | 2016-10-21 |
1174873350 | The West Oakland Health Council | Community/Behavioral Health | 960 10th St, Oakland, CA 94607-3106 | 2012-09-14 |
1073750022 | The West Oakland Health Council | Clinic/Center | 451 28th St, Community Recovery Center West, Oakland, CA 94609-3602 | 2009-01-13 |
1073769402 | The West Oakland Health Council | Public Health or Welfare | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2008-08-18 |
1568583789 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2007-04-03 |
Street Address |
451 28TH ST |
City | OAKLAND |
State | CA |
Zip Code | 94609-3602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073750022 | The West Oakland Health Council | Clinic/Center | 451 28th St, Community Recovery Center West, Oakland, CA 94609-3602 | 2009-01-13 |
1588866883 | Rodney Lewis | Counselor | 451 28th St, Oakland, CA 94609-3602 | 2007-05-31 |
1760683692 | Jocelyn Robertson | Counselor | 451 28th St, Oakland, CA 94609-3602 | 2007-05-29 |
1144431826 | Ali Da | Counselor | 451 28th St, Oakland, CA 94609-3602 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
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 |
---|---|---|---|---|
1568633154 | Healthy Babies Project, Inc | Substance Abuse Rehabilitation Facility | 1004 36th St, Oakland, CA 94608-3906 | 2008-03-21 |
1336325737 | Horizon Services, Inc | Substance Abuse Rehabilitation Facility | 3210 62nd Ave, Oakland, CA 94605-1614 | 2008-01-15 |
1629254024 | Horizon Services, Inc. | Substance Abuse Rehabilitation Facility | 3837-3847 Telegraph Ave, Oakland, CA 94609-2419 | 2008-01-15 |
1922280858 | Solid Foundation Mandela House | Substance Abuse Rehabilitation Facility | 6939 Macarthur Blvd, Oakland, CA 94605-2532 | 2007-12-03 |
1528240959 | Carneles Unidos Reformando Adictos Inc. | Substance Abuse Rehabilitation Facility | 531 24th St, Oakland, CA 94612-1721 | 2007-11-27 |
1346441763 | East Bay Community Recovery Project | Substance Abuse Rehabilitation Facility | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2007-05-31 |
1215064100 | Volunteers of America Northern California & Northern Nevada | Substance Abuse Rehabilitation Facility | 2364 E 15th St, Oakland, CA 94601-1037 | 2007-02-27 |
1205337771 | Brian Wai | Substance Abuse Rehabilitation Facility | 310 8th St Ste 210, Oakland, CA 94607-6527 | 2018-02-21 |
1588013502 | Maria Arroyo | Substance Abuse Rehabilitation Facility | 3408 Andover St, Oakland, CA 94609-2817 | 2016-06-09 |
1265891121 | Adolescent Treatment Centers, Inc and Thunder Road | Substance Abuse Rehabilitation Facility | 390 40th St, Oakland, CA 94609-2633 | 2016-02-19 |
Find all providers in OAKLAND |
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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.