EDGEWOOD (NPI# 1487031019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487031019 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD |
| Practice Address |
3801 3rd St San Francisco CA 94124-1409 |
| Mailing Address |
1801 Vicente St San Francisco CA 94116-2923 |
| Practice Telephone | 4153757630 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | MRS. CYNTHIA GREEN (DIRECTOR OF FAMILY CENTER) |
| Authorized Official Telephone | 4153757630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MENTAL HEALTH ASSISTANT II | 172B00000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265865240 | Edgewood | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2013-08-14 |
| 1801056395 | Edgewood | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2008-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EDGEWOOD 1959, LLC | 1959 Sw Edgewood Road, Portland, OR 97201 |
| Washington State Corporations | EDGEWOOD 207 LLC | 8703 72nd Ave E, Puyallup, WA 98371-6529 |
| New York State Corporations | EDGEWOOD 23014 LLC | 2380 Hempstead Turnpike Suite, East Meadow, Ny 11554 |
| Oregon Corporations, Companies and Business Names | EDGEWOOD 381, LLC | 1616 N Holladay Dr, Seaside, OR 97138 |
| New York State Corporations | EDGEWOOD 43 CORP | 500 Sunrise Highway, Amityvile, Ny 11701 |
| New York State Corporations | EDGEWOOD 73 DN LLC | Attention: Theodore Wm. Tashlik, Esq., 40 Cuttermill Road, Suite 200, Great Neck, Ny 11021 |
| Connecticut Business Registrations | EDGEWOOD 845AVE LLC | 12 Marvel Rd Unit 2, Unit 2nd, New Haven, CT 06515 |
| Connecticut Business Registrations | EDGEWOOD ACADEMY, LLC | 18 Edgewood Ave., Stamford, CT 06907 |
| Connecticut Business Registrations | EDGEWOOD ACQ LLC | 250 Pequot Ave, Southport, CT 06890 |
| Washington State Corporations | EDGEWOOD ACREAGE LLC | 1015 Nw 196th St, Shoreline, WA 98177-2632 |
| Street Address |
3801 3RD ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94124-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609968098 | Rita Maria Perez | Social Worker | 3801 3rd St, Suite 400, San Francisco, CA 94124-1409 | 2006-09-29 |
| 1427655562 | Aleksandra Melnikova | Student in an Organized Health Care Education/Training Program | 3801 3rd St, San Francisco, CA 94124-1409 | 2020-10-01 |
| 1053861559 | Comprehensive Crisis Services | Registered Nurse | 3801 3rd St, San Francisco, CA 94124-1409 | 2016-10-07 |
| 1205382595 | Kristine Ann Isidro | Registered Nurse | 3801 3rd St, Suite 400, San Francisco, CA 94124-1409 | 2016-08-28 |
| 1891156402 | David N. Rages II | Counselor | 3801 3rd St, Suite 610, San Francisco, CA 94124-1409 | 2016-03-09 |
| 1417312364 | Joseph Leonardi | Specialist | 3801 3rd St, Ste 400, San Francisco, CA 94124-1409 | 2015-12-18 |
| 1124498043 | Katherine Winship | Social Worker | 3801 3rd St, Suite 400, San Francisco, CA 94124-1409 | 2015-10-05 |
| 1174924294 | Jamil Cromartie | Counselor | 3801 3rd St, San Francisco, CA 94124 | 2014-09-08 |
| 1255744298 | Edgewood Center for Children and Families | Community/Behavioral Health | 3801 3rd St, Suite 610/620, San Francisco, CA 94124-1446 | 2014-06-06 |
| 1306260831 | Nikole Shaw | Counselor | 3801 3rd St, Suite 400, San Francisco, CA 94124-1409 | 2014-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597525 | Valeria Elizabeth Diaz | Technician, Other | 1227 Revere Ave, San Francisco, CA 94124 | 2018-05-09 |
| 1164929915 | Derrick Tuckerson | Registered Nurse | 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124 | 2018-04-09 |
| 1518469766 | Skycoast Mobility, LLC | Non-emergency Medical Transport (VAN) | 1485 Bayshore Blvd., Suite #320a, San Francisco, CA 94124 | 2018-03-04 |
| 1811419484 | Kayla Leininger | Counselor | 3801 3rd St., 400, San Francisco, CA 94124 | 2017-07-14 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1518362201 | Southeast Health Clinic, Department of Public Health | Clinic/Center | 2401 Keith Ave, San Francisco, CA 94124 | 2014-10-24 |
| 1629489299 | Bayview Hunter Point Foundation | Community/Behavioral Health | 1075 Leconte Street, San Francisco, CA 94124 | 2014-05-16 |
| 1558797936 | Mickey Diner Stein | Student in an Organized Health Care Education/Training Program | 3801 Third Street, Suite 400, San Francisco, CA 94124 | 2013-09-18 |
| 1164797916 | Ronnie Muniz | Counselor | 5015 Third Street, San Francisco, CA 94124 | 2012-03-13 |
| 1265717144 | Marq'uis Amari-hakeem Reid | Counselor | 1625 Carroll Avenue, San Francisco, CA 94124 | 2011-10-11 |
| Find all providers in zip 94124 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080691 | Primocare, LLC | Case Management | 1 Embarcadero Ctr Ste 400, San Francisco, CA 94111-3619 | 2020-10-13 |
| 1992245773 | Remedy Labs, Inc. | Case Management | 1161 Mission St, San Francisco, CA 94103-1550 | 2017-02-28 |
| 1932596954 | Vida Health, Inc. | Case Management | 26 Ofarrell St, Suite 310, San Francisco, CA 94108-5809 | 2015-04-16 |
| 1427453323 | Primo Health Coach, Inc. | Case Management | 2460 Mission St Ste 214, San Francisco, CA 94110-2458 | 2014-11-04 |
| 1124457221 | Simpler | Case Management | 766 Harrison St, Suite 103, San Francisco, CA 94107-1273 | 2013-11-08 |
| 1497090260 | Asian Women's Shelter | Case Management | 3543 18th St Ste 19, San Francisco, CA 94110-1600 | 2012-12-06 |
| 1023385010 | Dna Direct Inc | Case Management | 9 Pier Suite 106, San Francisco, CA 94111 | 2011-11-19 |
| 1669764148 | Compass Family Services | Case Management | 49 Powell St, 3rd Floor, San Francisco, CA 94102-2849 | 2011-05-03 |
| 1639478019 | Laura C Buck | Case Management | 2340 Van Ness Ave, Apartment #1, San Francisco, CA 94109-1870 | 2011-03-24 |
| 1285943019 | Swords To Plowshares | Case Management | 1060 Howard Street, San Francisco, CA 94103 | 2010-09-28 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94124 |
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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.