FORTERUS HEALTHCARE (NPI# 1477788487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477788487 |
| Entity Type | Organization |
| Organization Name | FORTERUS HEALTHCARE |
| Other Organization Name | FORTERUS HEALTHCARE |
| Practice Address |
30852 Highland Vista Cir Temecula CA 92591-7264 |
| Mailing Address |
200 Powell Pl Brentwood TN 37027-7514 |
| Practice Telephone | 8009900340 |
| Practice Fax Number | 9542085770 |
| Mailing Telephone | 6157278416 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | MR. JERROD N MENZ (CEO) |
| Authorized Official Telephone | 6157278387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 330071BP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Forterus Healthcare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FORTERUS HEALTHCARE | 200 Powell Pl, Brentwood, TN 37027-7514 |
| Street Address |
30852 HIGHLAND VISTA CIR |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410958 | Ranch Creek Recovery,inc. | Substance Abuse Rehabilitation Facility | 43264 Business Park Dr Ste 101, Temecula, CA 92590-3646 | 2020-02-26 |
| 1538654520 | Rancho Milagro Recovery Inc | Substance Abuse Rehabilitation Facility | 37235 Painted Pony Rd, Temecula, CA 92592-8221 | 2018-06-22 |
| 1609389162 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 44764 Mumm St, Temecula, CA 92592-5546 | 2017-11-07 |
| 1538672084 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 40624 Calle Cancion, Temecula, CA 92592-9472 | 2017-11-07 |
| 1174971493 | Inland Detox, Inc. | Substance Abuse Rehabilitation Facility | 38630 Mesa Rd, Temecula, CA 92592-8631 | 2016-05-26 |
| 1346614666 | Southern California Addiction Center | Substance Abuse Rehabilitation Facility | 36500 De Portola Rd, Temecula, CA 92592-7801 | 2015-11-24 |
| 1265818082 | Best New Life Recovery | Substance Abuse Rehabilitation Facility | 20755 Carancho Rd, Temecula, CA 92590-4242 | 2015-08-04 |
| 1770967267 | Second2none | Substance Abuse Rehabilitation Facility | 32619 Via Perales, Temecula, CA 92592-8148 | 2015-07-14 |
| 1124408166 | 2 Shine Again, Inc | Substance Abuse Rehabilitation Facility | 37347 Avednida Chapala, Temecula, CA 92592 | 2015-06-04 |
| 1437496833 | Dave Leo Johnson | Substance Abuse Rehabilitation Facility | 42012 Dahlia Way, Temecula, CA 92591-5356 | 2013-01-07 |
| Find all providers in TEMECULA | ||||
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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.