CARPENTER GUEST HOMES INC (NPI# 1316164379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316164379 |
| Entity Type | Organization |
| Organization Name | CARPENTER GUEST HOMES INC |
| Other Organization Name | DBA ESTRELCA'S ICF/DD-H |
| Practice Address |
3446 Pock Ln Stockton CA 95205-8022 |
| Mailing Address |
2482 Carpenter Rd Stockton CA 95205 |
| Practice Telephone | 2099320368 |
| Practice Fax Number | 2099320668 |
| Mailing Telephone | 2099320368 |
| Mailing Fax Number | 2099320668 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | MRS. ESTRELLA L. JOSE (LICENSEE/ADMIN) |
| Authorized Official Telephone | 2094624239 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARPENTER GUEST HOMES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
100000685 | CA | Ambulatory Health Care Facilities |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
100000685 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DBA Estrelca's ICF/DD-H | Doing Business As Name - Organization |
| Street Address |
3446 POCK LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95205-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801081 | Telegenx, LLC | Durable Medical Equipment & Medical Supplies | 127 S Locust St, Stockton, CA 95205 | 2020-08-12 |
| 1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1467820019 | San Joaquin County Bhs | Non-emergency Medical Transport (VAN) | 1149 N. El Dorado St., Stockton, CA 95205 | 2015-09-11 |
| 1346617651 | Kevin G.y. Tom | Pharmacist | 1528 Fremont St, Stockton, CA 95205 | 2015-08-24 |
| 1578749149 | Peebles Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 North Broadway Ave, Stockton, CA 95205 | 2008-01-14 |
| 1780874149 | Mv Transportation | Non-emergency Medical Transport (VAN) | 1250 South Wilson Way, Mv Transportation Ste #a1, Stockton, CA 95205 | 2007-07-31 |
| 1467513549 | Stockton Pharmacy | Pharmacy | 3330 E Main St, Stockton, CA 95205 | 2006-12-13 |
| 1174155170 | Phillip Brandon Long | Pharmacist | 2040 E Mariposa Rd, Stockton, CA 95205 | 2020-02-07 |
| 1558904136 | Angela Moss Burns | Counselor | 430 N Pilgrim St, Stockton, CA 95205 | 2019-10-25 |
| Find all providers in zip 95205 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778525 | Firefly Center: Therapy Services for Children | Clinic/Center | 1601 Old Bayshore Hwy Ste 221, Burlingame, CA 94010-1508 | 2020-10-21 |
| 1245718287 | Rapha Rehabilities | Clinic/Center | 4959 Palo Verde St Ste 110b, Montclair, CA 91763-2303 | 2018-08-01 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1407374333 | Social Skills Training and Resources | Clinic/Center | 157 Grand Ave Ste 205, Pacific Grove, CA 93950-2752 | 2017-08-30 |
| 1588047492 | Autism Center of Northern California | Clinic/Center | 870 Market St Ste 472-476, San Francisco, CA 94102-3001 | 2015-07-09 |
| 1962806166 | Rady Childrens Hospital-san Diego | Clinic/Center | 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 | 2014-10-17 |
| 1356683015 | Speechcom Incorporated | Clinic/Center | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2013-03-20 |
| 1619263266 | Russo, Fleck & Associates | Clinic/Center | 960 W Town and Country Rd, Orange, CA 92868-4714 | 2011-06-22 |
| 1316252000 | Pediatric Minds Medical Center | Clinic/Center | 3524 Torrance Blvd Ste 103, Torrance, CA 90503-4821 | 2010-08-18 |
| 1700117082 | Blackwell Homes | Clinic/Center | 1646 S Wright Rd, Santa Rosa, CA 95407-7318 | 2010-01-26 |
| 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.