BUTTERFLY EFFECTS


Address: 4650 34th St Apt D, San Diego, CA 92116-3443
Phone: 6195650042

BUTTERFLY EFFECTS (NPI# 1235475856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235475856
Entity Type Organization
Organization Name BUTTERFLY EFFECTS
Other Organization Name NONE
Practice Address 4650 34th St Apt D
San Diego
CA 92116-3443
Mailing Address 4650 34th Street Apt D
San Diego
CA 92116
Practice Telephone 6195650042
Mailing Telephone 6195650042
Enumeration Date 2012-12-31
Last Update Date 2012-12-31
Authorized Official Name MR. MARCUS DARNELL SHANNON (BEHAVIORAL COUNSELOR)
Authorized Official Telephone 6195650042
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care Agencies

Other Provider/Organization Names

Other Name Type Code
none Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043865959 Butterfly Effects Behavior Technician 4245 W March Lane, Stockton, CA 95208-9520 2019-08-07
1952858904 Butterfly Effects Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14333 Philippine St, Houston, TX 77040-6913 2016-09-07
1104277854 Butterfly Effects Preferred Provider Organization 5844 Bienvenue Ave, Marrero, LA 70072-4704 2016-06-23
1437521887 Butterfly Effects Developmental Therapist 881 W Baxter Dr Ste 100, South Jordan, UT 84095-8506 2015-10-26
1790030021 Butterfly Effects Case Management 640 Green Valley Dr, Virginia Beach, VA 23462-4628 2012-07-24
1912287459 Butterfly Effects Voluntary or Charitable 1801 Dallas Ave, Charlotte, NC 28205-7905 2011-08-27
1700165297 Butterfly Effects Exclusive Provider Organization 7162 E 26th St, Yuma, AZ 85365-7876 2011-08-15
1669800876 Butterfly Effects Behavioral Analyst 4301 N Federal Hwy Ste 2, Pompano Beach, FL 33064-6519 2013-10-25
1104124940 Butterfly Effects Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2011-03-02

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Butterfly Effects LLC 6430 Stuart St, Arvada, CO 80003
Virginia Business Entities BUTTERFLY EFFECTS LLC 500 Fairway Drive, Suite 102, Deerfield Beach, Florida 33441
System for Award Management (SAM) Entities BUTTERFLY EFFECTS, LLC 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817
Connecticut Business Registrations Butterfly Effects, LLC 500 Fairway Dr., Ste. 102, Deerfield Beach, FL 33441

Office Location

Street Address 4650 34TH ST APT D
City SAN DIEGO
State CA
Zip Code 92116-3443

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255859450 Michael S Cohen Acupuncturist 1533 Monroe Ave, San Diego, CA 92116 2017-09-07
1013456052 Scarlett O'hara Speech-Language Pathologist 4204a Adams Avenue, San Diego, CA 92116 2017-02-22
1780123174 Elaine Oxina Occupational Therapist 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 2017-02-17
1699157321 Candice Dumais Occupational Therapist 4522 1/2 Georgia St, San Diego, CA 92116 2015-06-18
1558643908 Markus Steven Hill Student in an Organized Health Care Education/Training Program 4489 41st St, San Diego, CA 92116 2011-09-12
1457689309 Nirit Shoshana Blocker Physical Therapist 4663 Iowa St Unit 5, San Diego, CA 92116 2009-12-03
1780830257 Latrice Charlene Washington Counselor 3430 School St, San Diego, CA 92116 2008-08-15
1497901086 Kathryn Eris Zangaro Counselor 3430 School St., San Diego, CA 92116 2008-08-14
1508012535 Cyrus Satoafaiga Counselor 3430 School Street, San Diego, CA 92116 2008-08-11
1164692471 Kimberly Hoover L.ac. Acupuncturist 2852 Adams Avenue, San Diego, CA 92116 2008-03-04
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659978328 La Tanya Wallace Nursing Care 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 2020-10-06
1720611502 Hospice De La Frontera Nursing Care 2626 Coronado Ave Spc 66, San Diego, CA 92154-2126 2020-02-19
1508106477 Rancho Bernardo Day Program Inc Nursing Care 16496 Bernardo Center Dr # 304, San Diego, CA 92128-2524 2013-02-28
1952579419 Workway Nursing, Corp Nursing Care 1011 Camino Del Rio S, 340, San Diego, CA 92108-3531 2008-02-18
1609315415 County of San Diego Nursing Care 5055 Ruffin Rd, San Diego, CA 92123-1617 2017-02-14
1568731933 Peak Health Solutions Nursing Care 6920 Miramar Rd Ste 305, San Diego, CA 92121-2643 2011-12-14
1104146729 Health Guard Fitness Nursing Care 2915 Lloyd St, San Diego, CA 92117-6031 2010-06-04
1396927141 Pacific Coast Healthcare Nursing Care 4025 Camino Del Rio S, Suite #331, San Diego, CA 92108-4107 2007-12-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821224 Discovery Health Services Nursing Care 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 2020-11-04
1457959496 Meditas Corporation Nursing Care 4068 Park Vista Dr, Pasadena, CA 91107-1322 2020-10-13
1548874654 Integral Advanced Nursing Services Corporation Nursing Care 4138 Towhee Dr, Calabasas, CA 91302-1823 2020-09-04
1295349777 Tryfacta, Inc. Nursing Care 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 2020-09-02
1174135982 Queens Manor 2 Home Care Nursing Care 248 Amelia Ct, Vista, CA 92084-2587 2020-08-21
1518579192 Core Nursing, Inc. Nursing Care 1513 Portia St, Los Angeles, CA 90026-2651 2020-08-17
1316569189 Sri Sai Krish Institute Nursing Care 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 2020-05-14
1669008934 Angenida Hospice LLC Nursing Care 14081 Yorba St Ste 201, Tustin, CA 92780-2011 2020-03-19
1396379244 Beckett Enterprise Nursing Care 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 2020-03-01
1811521073 Weldwoods Residential Care Home LLC Nursing Care 1490 Pelusa Ln, Manteca, CA 95337-8792 2020-02-26
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Competitor

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City SAN DIEGO
Zip Code 92116

Improve Information

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Dataset Information

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.

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