CASA DEL RIOS (NPI# 1386869584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386869584 |
| Entity Type | Organization |
| Organization Name | CASA DEL RIOS |
| Other Organization Name | OMEGA HOUSE |
| Practice Address |
7830 Omega Way Stockton CA 95212-2902 |
| Mailing Address |
5541 Solari Ranch Rd Stockton CA 95215-9318 |
| Practice Telephone | 2099311027 |
| Practice Fax Number | 2099315516 |
| Mailing Telephone | 2099311027 |
| Mailing Fax Number | 2099315516 |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANET RIOS (OWNER) |
| Authorized Official Telephone | 2099311027 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60137G | 05 |
| Other Name | Type Code |
|---|---|
| Omega House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659596856 | Casa Del Rios | Nursing Facility/Intermediate Care Facility | 5541 Solari Ranch Rd, Stockton, CA 95215-9318 | 2007-04-15 |
| Street Address |
7830 OMEGA WAY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639526692 | Duke Facilities Inc. | Intermediate Care Facility, Mentally Retarded | 620 Garner Ln, Stockton, CA 95207-4805 | 2016-05-19 |
| 1063886638 | Sonia's Care Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 8516 Edgefield Way, Stockton, CA 95209-2238 | 2015-11-19 |
| 1952728412 | Gapuz Incorporated | Intermediate Care Facility, Mentally Retarded | 640 Whipporwill St, Stockton, CA 95210-4445 | 2014-03-23 |
| 1659525061 | Duke Facilities, Inc | Intermediate Care Facility, Mentally Retarded | 6142 Greenfield Ln, Stockton, CA 95207-3110 | 2008-11-12 |
| 1770760019 | Shirley's Care Home Inc #2 | Intermediate Care Facility, Mentally Retarded | 8351 Hamilton Way, Stockton, CA 95209-2212 | 2008-01-29 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1194939025 | Gapasin Manor Icfddn #2 | Intermediate Care Facility, Mentally Retarded | 2325 Stanfield Dr, Stockton, CA 95209-4017 | 2007-05-10 |
| 1912111840 | Gapasin Manor Icfddn #3 | Intermediate Care Facility, Mentally Retarded | 3813 Steedman Way, Stockton, CA 95209-5020 | 2007-05-10 |
| 1568676492 | Gapasin Manor Icfddn #1 | Intermediate Care Facility, Mentally Retarded | 2451 Shropshire Dr, Stockton, CA 95209-1701 | 2007-05-10 |
| 1962551713 | Duke Facilities, Inc | Intermediate Care Facility, Mentally Retarded | 403 Goya Dr, Stockton, CA 95207-2246 | 2007-01-10 |
| Find all providers in STOCKTON | ||||
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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.