IMPRESSION HEALTHCARE SERVICES, INC.


Address: 22573 Barton Rd., Grand Terrace, CA 92313
Phone: 9095141505

IMPRESSION HEALTHCARE SERVICES, INC. (NPI# 1487885497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487885497
Entity Type Organization
Organization Name IMPRESSION HEALTHCARE SERVICES, INC.
Practice Address 22573 Barton Rd.
Grand Terrace
CA 92313
Practice Telephone 9095141505
Practice Fax Number 9094981360
Mailing Telephone 9095141505
Mailing Fax Number 9094981360
Enumeration Date 2009-08-07
Last Update Date 2009-08-07
Authorized Official Name MR. RYAN RAMON SANFT (OWNER/DIRECTOR)
Authorized Official Telephone 9097097705
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness LCS 23258 CA Residential Treatment Facilities

Office Location

Street Address 22573 BARTON RD.
City GRAND TERRACE
State CA
Zip Code 92313

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1427321322 Noelle Angelica Leon Technician, Pathology 22799 Desoto Street, Grand Terrace, CA 92313 2012-02-23
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1477752913 Joseph Allan Pruitt Optometrist 11980 Mount Vernon Ave, Grand Terrace, CA 92313 2007-07-14
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1376015164 Trescina Michelle Hernandez Assistant Behavior Analyst 22887 Brentwood St, Grand Terrace, CA 92313-4908 2018-12-18
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1922028406 Heather Carriedo Pediatrics 23251 Glendora Dr, Grand Terrace, CA 92313-4965 2006-07-20
1760683866 Emeritus Corporation Alzheimer Center (Dementia Center) 22325 Barton Rd, Grand Terrace, CA 92313-5006 2007-05-29
1780985747 Jerome Mendiola Ocampo Dentist 22421 Barton Rd # 291, Grand Terrace, CA 92313-5008 2010-11-08
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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Competitor

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City GRAND TERRACE
Zip Code 92313

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Dataset Information

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.

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