JANNIC HEALTH SERVICES, LLC (NPI# 1366061301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366061301 |
| Entity Type | Organization |
| Organization Name | JANNIC HEALTH SERVICES, LLC |
| Practice Address |
26970 Hayward Blvd Apt 206 Hayward CA 94542-2088 |
| Practice Telephone | 5106600488 |
| Practice Fax Number | 5106600487 |
| Mailing Telephone | 5106600488 |
| Mailing Fax Number | 5106600487 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | MR. JONN MAHATMA D'MARTIN (MANAGING PARTNER) |
| Authorized Official Telephone | 5106600488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
26970 HAYWARD BLVD APT 206 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94542-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225453095 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 27971 Fairview Ave, Hayward, CA 94542 | 2014-03-03 |
| 1023312139 | Ashley Seo | Acupuncturist | 25538 Del Mar Avenue,apt 6, Hayward, CA 94542 | 2011-01-04 |
| 1528293438 | Michelle Renee Longo | Counselor | 25200 Carlos Bee Blvd Apt413, Hayward, CA 94542 | 2009-05-20 |
| 1356406649 | Rita Lafaye Davis Marten | Nurse Practitioner | 700 Adeline Street, West Oakland Health Council, Oakland, CA 94542 | 2006-12-27 |
| 1578575445 | Benjamin Wolsztejn | Obstetrics & Gynecology | 26929 Halifax Place, Hayward, CA 94542 | 2006-08-12 |
| 1366422776 | California State University East Bay | Clinic/Center | 25800 Carlos Bee Blvd, Hayward, CA 94542 | 2006-01-20 |
| 1871922450 | Edrose Perez Retodo | Nurse Practitioner | 24301 Southland Drive, Suite 213, Hayward, CA 94542 | 2013-11-05 |
| 1477703726 | Kristal Teamer | Counselor | 2495 Oakes Dr, Hayward, CA 94542 | 2008-09-23 |
| 1275194318 | Nicole Marie Griffiths | Behavior Technician | 24574 Leona Dr, Hayward, CA 94542-1010 | 2019-06-27 |
| 1386954642 | Nhi Xuan Huynh | Dentist | 3400 Sonoma Blvd., Vallejo, CA 94542-1050 | 2010-10-20 |
| Find all providers in zip 94542 | ||||
| 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 |
|---|---|---|---|---|
| 1952589467 | Bay Area Community Services Inc | Community Based Residential Treatment Facility, Mental Illness | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JANNIC HEALTH SERVICES, LLC.
| 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.