CACHUELA ICFDDN HOME INC (NPI# 1376639609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376639609 |
Entity Type | Organization |
Organization Name | CACHUELA ICFDDN HOME INC |
Other Organization Name | CACHUELA ICF DDN HOME OLMSTEAD HOME CASA DE YORBA LINDA |
Practice Address |
1721 N Greengrove Orange CA 92865-4616 |
Mailing Address |
1315 North Tustin Suite I399 Orange CA 92867-5042 |
Practice Telephone | 7142834621 |
Practice Fax Number | 7142834621 |
Mailing Telephone | 7149212987 |
Mailing Fax Number | 7146374604 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | OSCAR RIVERA CACHUELA (PRESIDENT) |
Authorized Official Telephone | 7144204486 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Cachuela ICF DDN Home Olmstead Home Casa De Yorba Linda | Doing Business As Name - Organization |
Street Address |
1721 N GREENGROVE |
City | ORANGE |
State | CA |
Zip Code | 92865-4616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
1992285167 | Victoria Barrientes | Behavior Technician | 3111 N. Tustiv Ave #100, Tustin, CA 92865 | 2018-08-17 |
1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
1114107505 | Life Hearing Inc. | Hearing Instrument Specialist | 1635 E. Lincoln Ave., Orange, CA 92865 | 2007-11-14 |
1013118488 | David M Datu Dds | Dentist | 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 | 2007-05-31 |
1831222611 | Amini Dental Corporation | Dentist | 1916 N Tustin St, Orange, CA 92865 | 2007-03-13 |
1598811341 | Linda Rose Cook | Counselor | 202 W Lincoln Ave, Suite F, Orange, CA 92865 | 2007-01-26 |
1467525543 | Hee S Kwon | Acupuncturist | 1516 E Lincoln Ave, Orange, CA 92865 | 2006-11-16 |
Find all providers in zip 92865 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164445508 | Cachuela Icf/dd-n Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1721 N Greengrove St, Orange, CA 92865-4616 | 2006-07-26 |
1558719229 | Cerebral Palsy of North Jersey | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 26 N Center St, Orange, NJ 07050-3763 | 2016-06-02 |
1912304817 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2014-11-21 |
1821495722 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1924 Thousand Oaks Dr, Orange, TX 77632-1215 | 2014-11-21 |
1447657341 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 24th St, Orange, TX 77630-3115 | 2014-11-21 |
1649677543 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1682 Huntsman St, Orange, TX 77632-1848 | 2014-11-21 |
1164853008 | Cachuela Icf/ddn Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1721 N Greengrove St, Orange, CA 92865-4616 | 2013-12-03 |
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1457966822 | Invincible Villas, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27539 Glasser Ave, Canyon Country, CA 91351-2039 | 2020-09-12 |
1528671633 | Eliaa, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1229 Kelley Avenue, Corona, CA 92882-4207 | 2020-08-28 |
1902417090 | Kavere Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 531 N Mills Ave, Lodi, CA 95242-2220 | 2020-08-12 |
1568071488 | Jnp Residential | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1518 S Wadsworth Ave, Compton, CA 90220-3951 | 2020-07-27 |
1043833734 | E&s Jensen Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9629 Ridgerock Dr, Elk Grove, CA 95624-4461 | 2020-05-28 |
1124663588 | The Caring Bunch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4355 Sepulveda Blvd Apt 125, Sherman Oaks, CA 91403-3911 | 2019-11-08 |
1821655507 | Creative Lifestyles Home Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1022 W Florence Ave, Los Angeles, CA 90044-2442 | 2019-05-28 |
1386160562 | Blueprint Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Sycamore Ln, Palmdale, CA 93551-1518 | 2017-08-18 |
1427592963 | Carissa Group Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1048 Stowell Ranch Cir, Corona, CA 92881-4739 | 2016-12-16 |
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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.