GOOD SAMARITAN SHELTER (NPI# 1316430218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316430218 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN SHELTER |
| Other Organization Name | CASA DE FAMILIA TREATMENT CENTER |
| Practice Address |
403b W Morrison Ave Santa Maria CA 93458-6118 |
| Mailing Address |
245 Inger Dr Ste 103-b Santa Maria CA 93454-8669 |
| Practice Telephone | 8053473338 |
| Practice Fax Number | 8004014105 |
| Mailing Telephone | 8053468185 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CHELSEA LAUREL JENSEN (MENTAL HEALTH PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8053473338 |
| Authorized Official Credential | AMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Casa De Familia Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962058297 | Good Samaritan Shelter | Substance Abuse Rehabilitation Facility | 608 W Ocean Ave, Lompoc, CA 93436-6630 | 2019-08-13 |
| 1225521123 | Good Samaritan Shelter | Community/Behavioral Health | 104 S C St Ste A, Lompoc, CA 93436-6924 | 2018-06-14 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1750416632 | Good Samaritan Shelter | Community/Behavioral Health | 412b E Tunnell St, Santa Maria, CA 93454-4146 | 2007-02-22 |
| 1699800367 | Good Samaritan Shelter | Community/Behavioral Health | 401 W Morrison Ave Ste B, Santa Maria, CA 93458-6124 | 2007-02-22 |
| 1689717258 | Good Samaritan Shelter | Community/Behavioral Health | 245 Inger Dr, Ste 103b, Santa Maria, CA 93454-8669 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SAMARITAN SHELTER | 245 E Inger Dr Ste 103b, Santa Maria, CA 93454-8669 |
| Street Address |
403B W MORRISON AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| 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 |
|---|---|---|---|---|
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1376094540 | Ruisenor Psychological P.C. | Community/Behavioral Health | 501 S Mcclelland St, Santa Maria, CA 93454-5118 | 2016-10-21 |
| 1619421252 | Santa Barbara County Department of Behavioral Wellness | Community/Behavioral Health | 2370 Skyway Dr, Suite 104, Santa Maria, CA 93455-1133 | 2016-08-11 |
| 1265801427 | Transitions Mental Health Association | Community/Behavioral Health | 401 W Morrison Ave Ste A, Office 1, Santa Maria, CA 93458-6124 | 2015-09-17 |
| 1366840977 | Brenda Monterde Bcba and Associates Inc | Community/Behavioral Health | 313 Plaza Dr Bldg A, Unit 5, Santa Maria, CA 93454-6931 | 2014-12-12 |
| 1720419096 | Family Care Network, Inc | Community/Behavioral Health | 222 Carmen Ln Ste 105, Santa Maria, CA 93458-7776 | 2013-12-11 |
| 1629396569 | Central Coast Treatment Centers | Community/Behavioral Health | 1880 Sequoia Dr, Santa Maria, CA 93454-7646 | 2010-05-15 |
| 1083820385 | Sojourn Services Inc | Community/Behavioral Health | 1619 S Broadway, Santa Maria, CA 93454-7601 | 2007-05-15 |
| 1750416632 | Good Samaritan Shelter | Community/Behavioral Health | 412b E Tunnell St, Santa Maria, CA 93454-4146 | 2007-02-22 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
Please comment or provide details below to improve the information on GOOD SAMARITAN SHELTER.
| 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.