OLIVE CREST


Address: 23115 Rider St, Perris, CA 92570-9723
Phone: 9516868500

OLIVE CREST (NPI# 1285288316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285288316
Entity Type Organization
Organization Name OLIVE CREST
Practice Address 23115 Rider St
Perris
CA 92570-9723
Mailing Address 2130 E 4th St Ste 200
Santa Ana
CA 92705-3818
Practice Telephone 9516868500
Mailing Telephone 7145435437
Enumeration Date 2019-07-26
Last Update Date 2019-11-05
Authorized Official Name DONALD VERLEUR (CEO)
Authorized Official Telephone 7145435437
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
20025 Vista Del Lago Ste A, Perris, CA 925707170 9512381093
20025 Vista Del Lago Ste B, Perris, CA 925707170 9512382157
20051 Vista Del Lago Ste A, Perris, CA 925707170 9512381383
20051 Vista Del Lago Ste B, Perris, CA 925707170 9512381936

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518573971 Olive Crest Community/Behavioral Health 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 2020-09-21
1144865379 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 2019-11-12
1235774464 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 2019-11-12
1245875467 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 2019-11-12
1174168397 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 2019-11-12
1720551971 Olive Crest Community/Behavioral Health 4510 E Pacific Coast Hwy Ste 450, Long Beach, CA 90804-6924 2019-01-09
1215418165 Olive Crest Community/Behavioral Health 525 Technology Ct Ste 102, Riverside, CA 92507-2181 2018-08-28
1659878809 Olive Crest Residential Treatment Facility, Emotionally Disturbed Children 13442 Malena Dr, Santa Ana, CA 92705-1912 2018-04-12
1366949513 Olive Crest Residential Treatment Facility, Emotionally Disturbed Children 19356 Saylor Terrace, Santa Ana, CA 92705 2018-04-12
1578060919 Olive Crest Residential Treatment Facility, Emotionally Disturbed Children 159 N Wheeler St, Orange, CA 92869-3217 2018-04-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities OLIVE CREST 2130 East 4th Street Ste 200, Santa Ana, CA 92705-3818
Washington State Corporations OLIVE CREST 2500 116th Ave Ne, Bellevue, WA 98004
Washington State Corporations OLIVE CREST INVESTORS LLC 720 Seneca St, Suite B, Seattle, WA 98101-3265
System for Award Management (SAM) Entities OLIVE CREST LEARNING TREE 7180 N 60th St, Omaha, NE 68152-2207

Office Location

Street Address 23115 RIDER ST
City PERRIS
State CA
Zip Code 92570-9723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962815993 Krystle Yvonne Cathey Counselor 23115 Rider St, Perris, CA 92570-9723 2014-06-06
1497391833 Lisa Salas Case Manager/Care Coordinator 23115 Rider St, Perris, CA 92570-9723 2019-11-20
1184128035 Amber Rena Glasser Counselor 23115 Rider St, Perris, CA 92570-9723 2018-03-23
1649717323 Stacey King Behavioral Analyst 23115 Rider St, Perris, CA 92570-9723 2017-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659861185 Derriea Mcglothern Specialist/Technologist 23126 Rider St, Perris, CA 92570 2018-05-10
1790235109 Jeromy Ford Counselor 226 W. 4th St, Perris, CA 92570 2016-10-10
1699196485 Taniya Sweeney Community/Behavioral Health 413 South B Strret, Perris, CA 92570 2013-12-20
1790091718 Josh B Neal Counselor 827 Georgiana Ct, Perris, CA 92570 2010-08-27
1427370915 Riverside Recovery Resources Clinic/Center 13911 Perris Blvd, Perris, CA 92570 2010-02-24
1144471939 Three Angels Medical Professional Corporation Internal Medicine 180 East 4th St, Suite B and C, Perris, CA 92570 2008-10-10
1205091790 Jill None Demos Counselor 24050 Christmas Tree Lane, Perris, CA 92570 2008-07-23
1598929341 Jacqueline Anne Rockwell Counselor 555 Perris Blvd, Peris, CA 92570 2008-07-10
1053584128 Perris Union High School District Local Education Agency (LEA) 755-b North A Street, Perris, CA 92570 2008-04-09
1477735215 Christianne Nelson Case Management 308 E San Jacinto Avenue, Perris, CA 92570 2007-12-04
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144865379 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 2019-11-12
1235774464 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 2019-11-12
1245875467 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 2019-11-12
1174168397 Olive Crest Community Based Residential Treatment Facility, Mental Illness 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 2019-11-12
1902082712 Victor Treatment Centers, Inc Community Based Residential Treatment Facility, Mental Illness 555 N Perris Blvd, Perris, CA 92571-2811 2008-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538244 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 10525 Fuerte Dr, La Mesa, CA 91941-4350 2020-11-05
1154922458 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 24171 Grayston Dr, Lake Forest, CA 92630-3839 2020-11-03
1003417684 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 1155 Hoover St, Carlsbad, CA 92008-4230 2020-11-02
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
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Competitor

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City PERRIS
Zip Code 92570

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Dataset Information

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.

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