RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES (NPI# 1235675646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235675646 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES |
| Other Organization Name | MICHAEL'S YOUTH TREATMENT HOME FOR BOYS |
| Practice Address |
43485 Hollyhock St Indio CA 92201-1976 |
| Mailing Address |
1612 1st St Coachella CA 92236-1407 |
| Practice Telephone | 7603988800 |
| Practice Fax Number | 7603989790 |
| Mailing Telephone | 7603989000 |
| Mailing Fax Number | 7603989790 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-03-14 |
| Authorized Official Name | LEONEL CONTRERAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7603989000 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE COUNTY LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Michael's Youth Treatment Home for Boys | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291819 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Substance Abuse Rehabilitation Facility | 84109 La Jolla Ave, Coachella, CA 92236-3575 | 2017-01-09 |
| 1174951594 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Substance Abuse Rehabilitation Facility | 83 844 Hopi Avenue, Indio, CA 92201-2638 | 2013-10-22 |
| 1477665651 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Substance Abuse Rehabilitation Facility | 83844 Hopi Ave, Indio, CA 92203-2638 | 2006-08-31 |
| 1700359312 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Clinic/Center | 91275 66th Ave., Mecca, CA 92254 | 2019-01-07 |
| 1003141755 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Clinic/Center | 1612 1st St, Coachella, CA 92236-1407 | 2009-10-14 |
| Street Address |
43485 HOLLYHOCK ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158238 | Teresa Torres Bastidas | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2020-09-08 |
| 1982258513 | Robert Blumenthal | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2019-07-31 |
| 1760969711 | Gabriela Becerra | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.