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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251J00000X | Nursing Care | VN135730 | CA | Agencies |
Street Address |
55475 SANTA FE TRL SUITE 100 |
City | YUCCA VALLEY |
State | CA |
Zip Code | 92284-3117 |
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 |
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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 |
Find all providers in zip 92284 |
Taxonomy Code | 251J00000X |
Grouping | Agencies |
Classification | Nursing Care |
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] |
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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City | YUCCA VALLEY |
Zip Code | 92284 |
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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.