ENCOMPASS COMMUNITY SERVICES (NPI# 1447474853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447474853 |
| Entity Type | Organization |
| Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Other Organization Name | EL DORADO |
| Practice Address |
941 El Dorado Ave Santa Cruz CA 95062-2863 |
| Mailing Address |
542 Ocean St Suite K Santa Cruz CA 95060-6622 |
| Practice Telephone | 8314799494 |
| Mailing Telephone | 8314590444 |
| Mailing Fax Number | 8314590665 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MONICA MARTINEZ (CEO) |
| Authorized Official Telephone | 8314691700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DSS - COM. CARE LICENSING | 445200358 | 01 |
| Other Name | Type Code |
|---|---|
| El Dorado | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1972930097 | Encompass Community Services | Community/Behavioral Health | 530 Ocean St Ste B, Santa Cruz, CA 95060-6628 | 2013-10-03 |
| 1114225448 | Encompass Community Services | Community/Behavioral Health | 165 Harkins Slough Rd, Watsonville, CA 95076-4124 | 2011-03-10 |
| 1811175201 | Encompass Community Services | Clinic/Center | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2008-02-07 |
| 1538385562 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 125 Rigg St, Santa Cruz, CA 95060-4203 | 2007-04-18 |
| 1891911830 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 161 Miles Ln, Watsonville, CA 95076-3127 | 2007-04-18 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1760608707 | Encompass Community Services | Community/Behavioral Health | 585 Auto Center Dr Ste B, Watsonville, CA 95076-3764 | 2007-04-18 |
| 1174746408 | Encompass Community Services | Community Based Residential Treatment Facility, Mental Illness | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2007-04-11 |
| 1659594547 | Encompass Community Services | Community/Behavioral Health | 241 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ENCOMPASS COMMUNITY SERVICES | 380 Encinal St Ste 2000, Santa Cruz, CA 95060-2178 |
| Street Address |
941 EL DORADO AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184590 | Tristan Lynn Mayo | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2015-09-15 |
| 1508276882 | Gillian Willson | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2014-05-07 |
| 1144654971 | Robin Kaye Tejada | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2013-08-28 |
| 1669818936 | Daniel Johnston | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2013-05-14 |
| 1942508163 | Shawn William Peterson | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2011-03-11 |
| 1609180298 | Patrick William Casey | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2010-08-05 |
| 1144540949 | Marisa Catherine Mcnulty | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2010-06-03 |
| 1770754905 | Daria Lynn Bobbin | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2008-03-15 |
| 1528252590 | Rahul Manchanda | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-08-31 |
| 1013114180 | Judith A Mckenna | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598984650 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 707 Darwin St, Santa Cruz, CA 95062-2208 | 2007-04-25 |
| 1174746408 | Encompass Community Services | Community Based Residential Treatment Facility, Mental Illness | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2007-04-11 |
| 1083969844 | Front Street | Community Based Residential Treatment Facility, Mental Illness | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2012-07-18 |
| 1922242734 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 303 Potrero St, Ste 103, Santa Cruz, CA 95060-2741 | 2009-04-23 |
| 1679790208 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 126 Front St, Santa Cruz, CA 95060-4402 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.