FRIENDSHIP CARE HOME (NPI# 1437512571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437512571 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP CARE HOME |
| Practice Address |
1907 Cavallo Rd Antioch CA 94509-2713 |
| Practice Telephone | 9257327364 |
| Practice Fax Number | 9257327196 |
| Mailing Telephone | 9257327364 |
| Mailing Fax Number | 9257327196 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | DR. DEEPAK DHAWAN (PRESIDENT) |
| Authorized Official Telephone | 5109968521 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
079200318 | CA | Nursing & Custodial Care Facilities |
| Street Address |
1907 CAVALLO RD |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337448 | Karteena's Rcfe | Assisted Living Facility | 20019 Midtown Ave, Carson, CA 90746-3119 | 2020-02-12 |
| 1558892760 | Beit Hillel Sobriety, Inc. | Assisted Living Facility | 1653 S Rimpau Blvd, Los Angeles, CA 90019-5658 | 2017-03-21 |
| 1154778850 | The Heathers Senior Care, Inc | Assisted Living Facility | 1565 Wintergreen Pl, Costa Mesa, CA 92626-2524 | 2016-05-23 |
| 1679927016 | Autumn Ridge, L.p. | Assisted Living Facility | 14280 W Stanislaus, Autumn Ridge Lp, Kerman, CA 93630 | 2016-04-22 |
| 1285092106 | Harvest Retirement Corporation | Assisted Living Facility | 9011 Knott Ave, Buena Park, CA 90620-4138 | 2016-02-06 |
| 1891167912 | Habilitative Homes Residential Care Facility | Assisted Living Facility | 11775 Walnut Rd, Lakeside, CA 92040-5624 | 2015-10-28 |
| 1477929628 | Seville Circle Inc. | Assisted Living Facility | 1900 Grismer Ave., Burbank, CA 91504 | 2015-08-11 |
| 1528457066 | Silver Lining Care Home | Assisted Living Facility | 3570 Hazeltine Ln, Roseville, CA 95747-6319 | 2015-01-21 |
| 1972906584 | Baj Management, Inc. | Assisted Living Facility | 800 Prospect Ave, South Pasadena, CA 91030-2420 | 2014-09-28 |
| 1215358452 | Yolanda Villanueva | Assisted Living Facility | 10204 Gerald Ave, North Hills, CA 91343-1132 | 2013-12-13 |
| Find all providers with the same taxonomy | ||||
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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.