WHITESIDE MANOR, INC. (NPI# 1508372186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508372186 |
| Entity Type | Organization |
| Organization Name | WHITESIDE MANOR, INC. |
| Other Organization Name | MEN'S SUBSTANCE ABUSE RECOVERY HOME |
| Practice Address |
2759 Orange St Riverside CA 92501-2538 |
| Mailing Address |
2743 Orange St Riverside CA 92501-2538 |
| Practice Telephone | 9517889515 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | DORI DOTSON (ADMIN MANAGER) |
| Authorized Official Telephone | 9517889515 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITESIDE MANOR, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Men's Substance Abuse Recovery Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598864357 | Whiteside Manor, Inc. | Substance Abuse Rehabilitation Facility | 2743 Orange St, Riverside, CA 92501-2538 | 2006-09-21 |
| 1376081323 | Whiteside Manor, Inc. | Substance Abuse Rehabilitation Facility | 2452 Wilshire St, Riverside, CA 92501-2144 | 2017-02-09 |
| Street Address |
2759 ORANGE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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 |
|---|---|---|---|---|
| 1437794252 | Promising Outlook | Substance Abuse Rehabilitation Facility | 4136 10th St, Riverside, CA 92501-3110 | 2019-11-15 |
| 1487177374 | Everlast Recovery Centers Inc | Substance Abuse Rehabilitation Facility | 6560 Sandy Ln, Riverside, CA 92505-2028 | 2017-07-21 |
| 1841664885 | Jacqueline Garcia | Substance Abuse Rehabilitation Facility | 10371 Hole Ave, Riverside, CA 92505-1747 | 2015-11-13 |
| 1952706319 | House On The Corner LLC The | Substance Abuse Rehabilitation Facility | 2709 Orange St, Riverside, CA 92501-2538 | 2014-10-28 |
| 1578962114 | Bluestone Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 | 2014-08-20 |
| 1053724716 | 10 Acre Ranch | Substance Abuse Rehabilitation Facility | 8605 Janet Ave, Riverside, CA 92503-9212 | 2014-06-10 |
| 1598002123 | Big Bear Recovery Center | Substance Abuse Rehabilitation Facility | 16891 Alita Dr, Riverside, CA 92504-6209 | 2013-01-16 |
| 1376714048 | Mfi Recovery Center | Substance Abuse Rehabilitation Facility | 9999 County Farm Rd, Riverside, CA 92503-3506 | 2008-03-20 |
| 1285802165 | Pavisch Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 4241 Glenwood Dr, Riverside, CA 92501-3027 | 2008-02-13 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in RIVERSIDE | ||||
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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.