TABATHA HERNANDEZ


Address: 508 Mendocino Ct, Atwater, CA 95301-4230
Phone: 2093575262

TABATHA HERNANDEZ (NPI# 1396143160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396143160
Entity Type Individual
Full Name TABATHA HERNANDEZ
Practice Address 508 Mendocino Ct
Atwater
CA 95301-4230
Mailing Address 6517 Charles Ct
Winton
CA 95388-9450
Practice Telephone 2093575262
Enumeration Date 2014-12-10
Last Update Date 2014-12-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 508 MENDOCINO CT
City ATWATER
State CA
Zip Code 95301-4230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871794909 Community Social Model Advocates, Inc. Substance Abuse Rehabilitation Facility 508 Mendocino Ct, Atwater, CA 95301-4230 2007-05-29
1699329391 Sonya Ann Maier Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2019-07-31
1396148797 Kathy Mace Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2014-09-30
1467886820 Lori Newman Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2013-08-21
1003108754 Misty Rose-collins Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2011-05-12
1326330077 Cristy Clinghan Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2011-05-12
1124310883 Laura Gort Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2011-05-12
1619269677 Raevin Marie Manzanares Counselor 508 Mendocino Ct, Atwater, CA 95301-4230 2011-05-10

Providers in the same zip code

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1043731052 Tlc Non-emergency Medical Transportation Transportation Broker 6235 Josie Street, Atwater, CA 95301 2017-06-29
1740536168 Richard Adjetey Sewoatsri Pharmacist 2511 Boulder Dr, Atwater, CA 95301 2012-08-03
1396003588 Muhammad Iqbal Choudhry Physician Assistant 1775 Third Street, Atwater, CA 95301 2012-04-25
1003117185 Barbara Gatlin Social Worker 540 E Bellevue Rd, Atwater, CA 95301 2010-11-05
1063722635 Carlos C Say,m..d.inc Internal Medicine 329 East Bellevue Rd, Atwater, CA 95301 2010-10-18
1689851669 Simplicity of Heart Counseling Service LLC Family Medicine 1201 Cedar Avenue, Atwater, CA 95301 2008-01-22
1154507374 Garfield Beach Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 1651 Bellevue Rd, Atwater, CA 95301 2008-01-17
1881893600 Cheryl Anne Assante Registered Nurse 6255 W. Camellia Drive, Atwater, CA 95301 2007-07-12
1669502027 Atwater Chiropractic, Inc. Chiropractor 2601 First Street, Atwater, CA 95301 2007-03-06
1215002902 Martin Kinsman Vacca Pharmacist 571 Bellevue Rd, Atwater, CA 95301 2006-11-21
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275733214 Becky Sue Brown Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2007-07-18
1871794909 Community Social Model Advocates, Inc. Substance Abuse Rehabilitation Facility 508 Mendocino Ct, Atwater, CA 95301-4230 2007-05-29
1629515192 Brandi Taamai Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2017-01-23
1861820706 Fraulein Lacy Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2013-10-30
1174860555 Tranquility Village Recovery Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2013-01-06
1578881595 Rose Julia Riordan Tranquility Village Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2010-05-14
1487893970 Nina Ann Decker Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2009-02-06
1073713012 Lynn Rene' Lemire Substance Abuse Rehabilitation Facility 559 Mendocino Ct, Atwater, CA 95301-4230 2007-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497359 California Care Detox & Treatment Substance Abuse Rehabilitation Facility 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 2020-11-02
1952900797 A Sacred Path Substance Abuse Rehabilitation Facility 5671 Spanish Flat Rd, Garden Valley, CA 95633 2020-10-22
1467051672 Spearhead Health Centers, LLC. Substance Abuse Rehabilitation Facility 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 2020-10-19
1073111613 A Place To Heal Substance Abuse Rehabilitation Facility 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 2020-10-15
1871191569 Old Oak Ranch Recovery Center Substance Abuse Rehabilitation Facility 19401 Susan Way, Sonora, CA 95370-9266 2020-10-14
1962009845 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 9952 Grandview Dr, La Mesa, CA 91941-6874 2020-10-05
1376140384 Magic House Recovery Inc Substance Abuse Rehabilitation Facility 1001 S Mountvale Ct, Anaheim, CA 92808-2108 2020-10-02
1942807060 New Perceptions North, LLC Substance Abuse Rehabilitation Facility 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 2020-10-01
1346857679 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 3480 Hidden Trail Dr, Jamul, CA 91935-2104 2020-09-30
1992312227 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 2020-09-30
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Competitor

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City ATWATER
Zip Code 95301

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Dataset Information

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.

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