TELECARE CWIC MB


Address: 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117
Phone: 8553656558

TELECARE CWIC MB (NPI# 1336573682) 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) 1336573682
Entity Type Organization
Organization Name TELECARE CWIC MB
Practice Address 55475 Santa Fe Trl
Suite 100
Yucca Valley
CA 92284-3117
Mailing Address Po Box 291
Twentynine Palms
CA 92277-0291
Practice Telephone 8553656558
Mailing Telephone 7604098571
Enumeration Date 2013-08-22
Last Update Date 2013-08-22
Authorized Official Name MRS. CINDY MARIE HAISTON (LVN)
Authorized Official Telephone 7604098571
Authorized Official Credential LVN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care VN135730 CA Agencies

Office Location

Street Address 55475 SANTA FE TRL
SUITE 100
City YUCCA VALLEY
State CA
Zip Code 92284-3117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033205885 Sarah Rushbrook Psychologist 55475 Santa Fe Trl, Yucca Valley, CA 92284-3117 2006-10-05
1457740375 Tiffiny Schuler Counselor 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2015-01-15
1750781712 Roy Doten Counselor 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2014-08-27
1861891103 Deborah Leader Counselor 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2014-08-21
1083022016 Bruce Baughman Licensed Psychiatric Technician 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2014-07-22
1013325059 Stephanie Cantu Counselor 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2014-07-22
1588071518 Karen Lesko Counselor 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2014-07-22
1184049249 Caroline Lechman Licensed Vocational Nurse 55475 Santa Fe Trl, Ste 100, Yucca Valley, CA 92284-3117 2014-02-26
1154755890 Telecare Corp Community/Behavioral Health 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117 2013-08-29
1942634670 Telecare Corp Community/Behavioral Health 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117 2013-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821646746 Dawn Irene Blue Registered Nurse 55887 Yucca Valley Trail, Yucca Valley, CA 92284 2019-09-04
1659838415 Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr Genetic Counselor, MS 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 2019-02-27
1790240026 Rosenda Marie Quintero Case Manager/Care Coordinator 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 2019-01-31
1740790617 Robert Farrer Pharmacist 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 2017-10-05
1881128981 Louis James Medina Case Manager/Care Coordinator 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 2017-04-14
1003369620 Hi -desert Memorial Health Care District Clinic/Center 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 2016-08-01
1346639002 Virginia Susan Mccann Marriage & Family Therapist 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 2015-01-20
1578964375 Desert Oasis Healthcare Clinic/Center 57-840 29 Palms Hwy, Yucca Valley, CA 92284 2014-09-11
1306245113 Katie Z Topper Nurse Practitioner 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 2014-08-18
1215347307 Sandip Patel Pharmacist 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 2014-04-29
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821224 Discovery Health Services Nursing Care 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 2020-11-04
1457959496 Meditas Corporation Nursing Care 4068 Park Vista Dr, Pasadena, CA 91107-1322 2020-10-13
1659978328 La Tanya Wallace Nursing Care 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 2020-10-06
1548874654 Integral Advanced Nursing Services Corporation Nursing Care 4138 Towhee Dr, Calabasas, CA 91302-1823 2020-09-04
1295349777 Tryfacta, Inc. Nursing Care 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 2020-09-02
1174135982 Queens Manor 2 Home Care Nursing Care 248 Amelia Ct, Vista, CA 92084-2587 2020-08-21
1518579192 Core Nursing, Inc. Nursing Care 1513 Portia St, Los Angeles, CA 90026-2651 2020-08-17
1316569189 Sri Sai Krish Institute Nursing Care 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 2020-05-14
1669008934 Angenida Hospice LLC Nursing Care 14081 Yorba St Ste 201, Tustin, CA 92780-2011 2020-03-19
1396379244 Beckett Enterprise Nursing Care 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 2020-03-01
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Competitor

Search similar providers

City YUCCA VALLEY
Zip Code 92284

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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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