TETRA HEALTH CARE (NPI# 1396214615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396214615 |
Entity Type | Organization |
Organization Name | TETRA HEALTH CARE |
Practice Address |
10714 Woodbine St Apt 4 Los Angeles CA 90034-5423 |
Practice Telephone | 3109255542 |
Mailing Telephone | 3109255542 |
Enumeration Date | 2018-11-15 |
Last Update Date | 2018-11-15 |
Authorized Official Name | GERALDINE LISE ESSOMBE (BCBA) |
Authorized Official Telephone | 3109255542 |
Authorized Official Credential | BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1700331956 | 05 |
Street Address |
10714 WOODBINE ST APT 4 |
City | LOS ANGELES |
State | CA |
Zip Code | 90034-5423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
Find all providers in zip 90034 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053976811 | Octavia Antoinette Askew | Day Training, Developmentally Disabled Services | 5412 S Broadway, Los Angeles, CA 90037-4126 | 2019-05-07 |
1528569779 | Family Hands Adult Residential Care, LLC | Day Training, Developmentally Disabled Services | 10016 La Salle Ave, Los Angeles, CA 90047-4242 | 2018-02-23 |
1639613573 | Lisa Davis | Day Training, Developmentally Disabled Services | 8937 1/2 S Western Ave, Los Angeles, CA 90047-3549 | 2016-12-12 |
1770033037 | Leaps N Boundz | Day Training, Developmentally Disabled Services | 5301 Beethoven St, Suite 155, Los Angeles, CA 90066-7061 | 2016-10-11 |
1144571290 | Dare U To Care Outreach Ministries | Day Training, Developmentally Disabled Services | 316 W 120th St, Los Angeles, CA 90061-1306 | 2012-09-28 |
1750569000 | Lotus Therapy, Inc. | Day Training, Developmentally Disabled Services | 3400 Fletcher Dr, Unit A, Los Angeles, CA 90065-2916 | 2008-02-07 |
1154542058 | Asian Rehabilitation Service, Inc. | Day Training, Developmentally Disabled Services | 1701 E Washington Blvd, Los Angeles, CA 90021-3124 | 2007-05-01 |
1295815108 | S $ R Quality Assisted Living Inc. | Day Training, Developmentally Disabled Services | 1543 W 80th St, Los Angeles, CA 90047-2843 | 2006-10-16 |
1003875493 | Healthylife,inc | Day Training, Developmentally Disabled Services | 137 N Virgil Ave, Los Angeles, CA 90004-4811 | 2006-03-22 |
1457900441 | Care Connection, Inc. | Day Training, Developmentally Disabled Services | 633 W 5th St Ste 2600, Los Angeles, CA 90071-2053 | 2019-09-11 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90034 |
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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.