TELECARE CORPORATION (NPI# 1285144139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285144139 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Other Organization Name | WELLSPRING CENTER |
| Practice Address |
15217 San Bernardino Ave Fontana CA 92335 |
| Mailing Address |
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 |
| Practice Telephone | 5103377950 |
| Practice Fax Number | 5103377969 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Wellspring Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1932754033 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 7821 English Hills Rd, Vacaville, CA 95688-9543 | 2019-08-06 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1609340769 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 12956 Alta Mesa Rd, Herald, CA 95638-8309 | 2019-01-11 |
| 1952880825 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 24 W Cypress Pl, Oakley, CA 94561-2258 | 2018-08-10 |
| 1619476892 | Telecare Corporation | Psychiatric Residential Treatment Facility | 298 Bernal Rd Ste A, San Jose, CA 95119-1809 | 2018-02-02 |
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELECARE CORPORATION | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 |
| Colorado Business Entities | Telecare Corporation | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501 |
| Street Address |
15217 SAN BERNARDINO AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255524815 | Nicole V Lopez | Marriage & Family Therapist | 15217 San Bernardino Ave, Fontana, CA 92335-5327 | 2007-08-27 |
| 1326690512 | Amanda Martinez | Social Worker | 15217 San Bernardino Ave, Fontana, CA 92335-5327 | 2019-07-09 |
| 1003244682 | Renee Marriott | Marriage & Family Therapist | 15217 San Bernardino Ave, Fontana, CA 92335 | 2013-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951200 | Helping Hearts California, LLC | Community Based Residential Treatment Facility, Mental Illness | 11253 Blackwood St, Fontana, CA 92337-6831 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 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.