FAMILY SERVICE ASSOCIATION (NPI# 1285739318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285739318 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE ASSOCIATION |
| Practice Address |
21250 Box Springs Road Suite 106 Moreno Valley CA 92557-8705 |
| Practice Telephone | 9513698036 |
| Practice Fax Number | 9513698303 |
| Mailing Telephone | 9513698036 |
| Mailing Fax Number | 9513698303 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | MR. DOM BETRO (PRESIDENT/CEO) |
| Authorized Official Telephone | 9516861096 |
| Authorized Official Credential | ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | ========= | CA | Agencies |
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538672878 | Family Service Association | Community/Behavioral Health | 17210 Slover Ave Ste 200, Fontana, CA 92337-7536 | 2017-11-08 |
| 1811412067 | Family Service Association | Community/Behavioral Health | 5888 Mission Blvd, Riverside, CA 92509-4256 | 2017-08-09 |
| 1467866889 | Family Service Association | Community/Behavioral Health | 661 Jackson Rd, Newtonville, NJ 08346 | 2014-06-13 |
| 1366861114 | Family Service Association | Clinic/Center | 4201 Fayette Dr, Bristol, PA 19007-2612 | 2014-04-09 |
| 1649698879 | Family Service Association | Clinic/Center | 1800 Keystone St, Croydon, PA 19021-6830 | 2014-04-04 |
| 1508297094 | Family Service Association | Community/Behavioral Health | 50391 Carmen Ave., Cabazon, CA 92230 | 2013-12-09 |
| 1164715009 | Family Service Association | Community/Behavioral Health | 625 S Pico Ave, San Jacinto, CA 92583-4130 | 2011-05-25 |
| 1962606475 | Family Service Association | Community/Behavioral Health | 8172 Magnolia Avenue, Riverside, CA 92504-3441 | 2007-06-11 |
| 1063442390 | Family Service Association | Clinic/Center | 184 Salem Ave, Suite 190, Dayton, OH 45406-5804 | 2006-07-03 |
| 1912958513 | Family Service Association | Counselor | 312 E White Horse Pike, Galloway, NJ 08205-9565 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION | 151 Rock St, Fall River, MA 02720-3201 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY | 4 Cornerstone Dr, Langhorne, PA 19047-1314 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF LINCOLN | 501 S 7th St, Lincoln, NE 68508-2920 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF WYOMING VALLEY | 31 W Market St, Wilkes Barre, PA 18701-1304 |
| Street Address |
21250 BOX SPRINGS ROAD SUITE 106 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760549125 | Family Service Association | Community/Behavioral Health | 21250 Box Springs Road, Suite 105, 106, 201, 202, 203, 205, 206, 212, Moreno Valley, CA 92557-8705 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1083066781 | Tyl Mental Health In Home Services | Community/Behavioral Health | 13800 Heacock St Ste 116, 19355 Redrock St Perris,ca 92570, Moreno Valley, CA 92553-8810 | 2016-07-06 |
| 1619366952 | Humanistic Counseling Center Inc. | Community/Behavioral Health | 12016 Vista De Cerros Dr, Moreno Valley, CA 92555-1813 | 2015-01-09 |
| 1629490198 | Riverside County Mental Health | Community/Behavioral Health | 13300 Sunfield Dr, Moreno Valley, CA 92553-3259 | 2014-01-17 |
| 1255766101 | Moreno Valley Children's Interagency Program | Community/Behavioral Health | 23119 Cottonwood Ave Ste 110, Moreno Valley, CA 92553-9661 | 2013-09-11 |
| 1013218643 | Catholic Charities San Bernardino/riverside | Community/Behavioral Health | 23623 Sunnymead Blvd, Suite E, Moreno Valley, CA 92553-3083 | 2010-11-12 |
| 1013154921 | Humanistic Counseling Center, Inc. | Community/Behavioral Health | 12981 Perris Blvd Ste 107, Moreno Valley, CA 92553-4108 | 2009-01-14 |
| 1225658198 | County of Riverside | Community/Behavioral Health | 12625 Heacock St, Moreno Valley, CA 92553-0538 | 2020-04-21 |
| 1821623018 | Applied Behavior Autism Center LLC | Community/Behavioral Health | 24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529 | 2020-03-08 |
| 1174035430 | All of God's Children's Group Home | Community/Behavioral Health | 29019 Carillo Ct, Moreno Valley, CA 92555-6501 | 2017-10-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
Please comment or provide details below to improve the information on FAMILY SERVICE ASSOCIATION.
| 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.