TETRA HEALTH CARE


Address: 10714 Woodbine St Apt 4, Los Angeles, CA 90034-5423
Phone: 3109255542

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA 1700331956 05

Office Location

Street Address 10714 WOODBINE ST APT 4
City LOS ANGELES
State CA
Zip Code 90034-5423

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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
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LOS ANGELES
Zip Code 90034

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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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