NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC. (NPI# 1255544276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255544276 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC. |
| Other Organization Name | MEADOWVIEW FACILITY |
| Practice Address |
850 Road N Redwood Valley CA 95470-6433 |
| Mailing Address |
3028 Esplanade Suite H Chico CA 95973-4924 |
| Practice Telephone | 7074850165 |
| Practice Fax Number | 7074858534 |
| Mailing Telephone | 5308942726 |
| Mailing Fax Number | 5308942798 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN C KOLAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5308942726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | LTC60281G | 01 |
| Other Name | Type Code |
|---|---|
| Meadowview Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578779286 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1116 W Perkins St, Ukiah, CA 95482-4625 | 2007-05-16 |
| 1528273836 | Northern California Adaptive Living Center, Inc. | Nursing Facility/Intermediate Care Facility | 7501 Uva Dr, Redwood Valley, CA 95470-6213 | 2007-05-11 |
| 1609089630 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1000 Sanford Ranch Rd, Ukiah, CA 95482-5241 | 2007-05-07 |
| 1043423155 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 3028 Esplanade, Suite H, Chico, CA 95973-4924 | 2007-05-07 |
| Street Address |
850 ROAD N |
| City | REDWOOD VALLEY |
| State | CA |
| Zip Code | 95470-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792783 | Salina Benitez | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2016-11-16 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1104459585 | Kara-faye Ingram | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2020-02-13 |
| 1104457266 | Dominique Serna-heal | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-28 |
| 1598395287 | Stephanie Campos | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-22 |
| 1003452566 | Salina Perales | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1023654464 | Jasmine Quilter | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-20 |
| 1871139360 | Eliyah Smith | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1821633421 | Zobeyda Bojorquez | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-07 |
| 1033614979 | Kayla Hickey | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2018-03-23 |
| Find all providers in zip 95470 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD VALLEY |
| Zip Code | 95470 |
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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.