ARMANDO CAVAZOS (NPI# 1366005696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366005696 |
| Entity Type | Individual |
| Full Name | ARMANDO CAVAZOS |
| Practice Address |
84 Wabasha St S Apt 330 Saint Paul MN 55107-1856 |
| Practice Telephone | 6122052086 |
| Mailing Telephone | 6122052086 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
84 WABASHA ST S APT 330 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837560 | Journey of Hope Community Housing LLC | Community Based Residential Treatment Facility, Mental Illness | 761 Case Ave, Saint Paul, MN 55106-3705 | 2020-06-30 |
| 1578958419 | 180 Degrees, Inc | Community Based Residential Treatment Facility, Mental Illness | 1281 7th St E, Saint Paul, MN 55106-4039 | 2015-03-30 |
| 1558544965 | Rhsc Inc. | Community Based Residential Treatment Facility, Mental Illness | 487 Grand Ave, #10, Saint Paul, MN 55102 | 2007-12-07 |
| 1740462969 | St Paul Como Community Unit | Community Based Residential Treatment Facility, Mental Illness | 690 Como Ave, Saint Paul, MN 55103-1436 | 2007-11-29 |
| 1780702878 | People Incorporated | Community Based Residential Treatment Facility, Mental Illness | 1100 Hancock St, Saint Paul, MN 55106-5336 | 2007-03-27 |
| 1649309246 | The Emily Program | Community Based Residential Treatment Facility, Mental Illness | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2007-03-02 |
| 1831254408 | Theodore I | Community Based Residential Treatment Facility, Mental Illness | 1314 Livingston Ave, Saint Paul, MN 55118-2409 | 2006-12-26 |
| 1306460324 | People Incorporated | Community Based Residential Treatment Facility, Mental Illness | 700 8th St E, Saint Paul, MN 55106-4414 | 2020-06-05 |
| 1952846107 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 700 Transfer Rd, Saint Paul, MN 55114-1420 | 2016-12-27 |
| 1083906994 | Emily Program PC | Community Based Residential Treatment Facility, Mental Illness | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2011-05-11 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
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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.