NICOLETTE DANIELE LAKE (NPI# 1447734025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447734025 |
| Entity Type | Individual |
| Full Name | NICOLETTE DANIELE LAKE |
| Practice Address |
531 Ohara Ave Oakley CA 94561-5741 |
| Practice Telephone | 9252196165 |
| Mailing Telephone | 9252196165 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 079200771 | CA | Nursing & Custodial Care Facilities |
| Street Address |
531 OHARA AVE |
| City | OAKLEY |
| State | CA |
| Zip Code | 94561-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565609 | Andrehina Salinas | Psychologist | 501 Norcross Ln, Oakley, CA 94561 | 2018-07-24 |
| 1629375514 | Prevailing Winds International | Community/Behavioral Health | 6327 Bethel Island, Ste A 1011, Bethel Island, CA 94561 | 2011-02-11 |
| 1851698781 | Elizabeth Phillips | Social Worker | 1506 Yosemite Circle, Oakley, CA 94561 | 2011-02-11 |
| 1093831539 | Richard John Dare | Dentist | 2571 Main St, Oakley, CA 94561 | 2007-03-22 |
| 1447380357 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 92 Lozoya Way, Oakley, CA 94561 | 2007-03-07 |
| 1184779779 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 385 Hill Ave, Oakley, CA 94561 | 2007-01-24 |
| 1821151846 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 1325 Yosemite Circle, Oakley, CA 94561 | 2006-12-19 |
| 1467515064 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 606 Glacier Way, Oakley, CA 94561 | 2006-12-18 |
| 1205912169 | Rick D Junnila | Chiropractor | 5351 Neroly Rd., Ste. B, Oakley, CA 94561 | 2006-10-31 |
| 1699795237 | Lourdes De La Cruz | Pediatrics | 3090 Frandoras Circle, Oakley, CA 94561 | 2006-07-19 |
| Find all providers in zip 94561 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912379231 | Shirley Virden | Assisted Living Facility | 1448 Buttons Ct, Oakley, CA 94561-2002 | 2015-10-26 |
| 1548420748 | Elk Meadows Assisted Living, LLC | Assisted Living Facility | 4200 North 400 West, Oakley, UT 84055 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588165 | Nana's Garden II | Assisted Living Facility | 25312 Ericson Way, Laguna Hills, CA 92653-5054 | 2020-11-03 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICOLETTE DANIELE LAKE.
| 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.