CALOAKS CARE GROUP INC (NPI# 1255755237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255755237 |
| Entity Type | Organization |
| Organization Name | CALOAKS CARE GROUP INC |
| Other Organization Name | CALOAKS SENIOR LIVING |
| Practice Address |
3891 Polk St Riverside CA 92505-1703 |
| Practice Telephone | 9516896162 |
| Practice Fax Number | 9516896182 |
| Mailing Telephone | 9516896162 |
| Mailing Fax Number | 9516896182 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | MR. VICTOR S CHARNETSKY (CEO/PRESIDENT) |
| Authorized Official Telephone | 9493156057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 336426029 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CalOaks Senior Living | Doing Business As Name - Organization |
| Street Address |
3891 POLK ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280788 | Yenny M Vieyra Aviles | Assisted Living Facility | 3879 Lafayette St, Riverside, CA 92503-3821 | 2020-06-23 |
| 1326672973 | Blessed Elder Care Inc | Assisted Living Facility | 5041 Sierra St, Riverside, CA 92504-2260 | 2020-02-22 |
| 1518504786 | Faith Hope and Love Assisted Living, Inc. | Assisted Living Facility | 5505 Via San Jacinto, Riverside, CA 92506-3652 | 2019-12-05 |
| 1477037299 | California Home for The Adult Deaf | Assisted Living Facility | 3615 Crowell Ave, Riverside, CA 92504-3549 | 2018-09-18 |
| 1790265650 | Juan Cornell | Assisted Living Facility | 1622 Palermo Dr, Riverside, CA 92507-2393 | 2018-08-20 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1972029486 | Fern Home 1 LLC | Assisted Living Facility | 3875 Megginson Ln, Riverside, CA 92503-3425 | 2017-08-16 |
| 1386965424 | Senior Focus Residential Care | Assisted Living Facility | 871 Via Mindi, Riverside, CA 92506-3642 | 2010-06-11 |
| 1780913475 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5881 El Palomino Dr, Riverside, CA 92509-7006 | 2009-12-09 |
| 1528233392 | James L Webb Enterprises Inc | Assisted Living Facility | 3100 Nw Vivion Rd, Riverside, MO 64150-9436 | 2008-04-23 |
| Find all providers in RIVERSIDE | ||||
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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.