CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC. (NPI# 1255797155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255797155 |
| Entity Type | Organization |
| Organization Name | CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC. |
| Other Organization Name | SAMUEL'S HOUSE |
| Practice Address |
700 N Irwin St Hanford CA 93230-3814 |
| Mailing Address |
11517 15th Ave Lemoore CA 93245-9508 |
| Practice Telephone | 5595839300 |
| Mailing Telephone | 5593800800 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | DR. CRYSTAL HERNANDEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5595839300 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHAMPIONS RECOVERY ALTERNATIVE PROGRAMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | 160005CN | CA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 1600005CN | CA | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Samuel's House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558870642 | Champions Recovery Alternative Programs, Inc. | Psychologist | 220 Keith St, Hanford, CA 93230-2910 | 2017-09-21 |
| 1881116408 | Champions Recovery Alternative Programs, Inc. | Psychologist | 513 S 6th Ave, Avenal, CA 93204-1708 | 2017-07-14 |
| 1649547159 | Champions Recovery Alternative Programs, Inc. | Psychologist | 222 West Keith Street, Hanford, CA 93230-3814 | 2011-11-29 |
| Street Address |
700 N IRWIN ST |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417098708 | Champions Recovery Alternatives Program, Inc. | Community/Behavioral Health | 700 N Irwin St, Hanford, CA 93230-3814 | 2007-02-09 |
| 1538651401 | Marco Antonio Elenes | Case Manager/Care Coordinator | 700 N Irwin St, Hanford, CA 93230-3814 | 2018-06-05 |
| 1760974703 | Maria Elena Castaneda | Case Manager/Care Coordinator | 700 N Irwin St, Hanford, CA 93230-3814 | 2018-06-05 |
| 1811402084 | Ashley Deleon | Counselor | 700 N Irwin St, Hanford, CA 93230-3814 | 2017-12-08 |
| 1669991196 | Niccole Hudson | Counselor | 700 N Irwin St, Hanford, CA 93230-3814 | 2017-09-15 |
| 1659890556 | Jennifer D Avery | Case Manager/Care Coordinator | 700 N Irwin St, Hanford, CA 93230-3814 | 2017-09-12 |
| 1730607219 | Yvette Olivera | Case Manager/Care Coordinator | 700 N Irwin St, Hanford, CA 93230 | 2017-09-05 |
| 1790203529 | Daniel Keating Rule | Social Worker | 700 N Irwin St, Hanford, CA 93230-3814 | 2017-08-31 |
| 1073035507 | Tasha Renee Perkins | Counselor | 700 N Irwin St, Hanford, CA 93230-3814 | 2017-07-17 |
| 1649721093 | Monica Elise Carrillo | Counselor | 700 N Irwin St, Hanford, CA 93230 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| 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 |
|---|---|---|---|---|
| 1861939993 | Maria Lovera | Substance Abuse Rehabilitation Facility | 222 Keith St, Hanford, CA 93230-2910 | 2017-01-26 |
| 1003359670 | Veronica Chavarin | Substance Abuse Rehabilitation Facility | 222 Keith St, Hanford, CA 93230-2910 | 2016-11-29 |
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| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
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| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.