PARADISE OAKS YOUTH SERVICES (NPI# 1508377854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377854 |
| Entity Type | Organization |
| Organization Name | PARADISE OAKS YOUTH SERVICES |
| Practice Address |
8297 Sunset Ave Fair Oaks CA 95628-5153 |
| Mailing Address |
6060 Sunrise Vista Dr Ste 2100 Citrus Heights CA 95610-7068 |
| Practice Telephone | 9169676253 |
| Practice Fax Number | 9169679413 |
| Mailing Telephone | 9169676253 |
| Mailing Fax Number | 9169679413 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | JENNIFER THOMPSON (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Telephone | 9169676253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 347005967 | CA | Residential Treatment Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 347005963 | CA | Residential Treatment Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 340317015 | CA | Residential Treatment Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 347005997 | CA | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 347006002 | CA | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4221 Waymar Ct, Carmichael, CA 956081659 | 9169676253 | 9169679413 |
| 6832 Rosa Vista Ln, Citrus Heights, CA 956103920 | 9169676253 | 9169679413 |
| 6904 Main Ave, Orangevale, CA 956623621 | 9169676253 | 9169679413 |
| 7331 Hazel Ave, Orangevale, CA 956622440 | 9169676253 | 9169679413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538648845 | Paradise Oaks Youth Services | Community Based Residential Treatment Facility, Mental Illness | 7447 Hazel Ave, Orangevale, CA 95662-2403 | 2018-08-08 |
| 1427569656 | Paradise Oaks Youth Services | Community Based Residential Treatment Facility, Mental Illness | 6904 Main Ave, Orangevale, CA 95662-3621 | 2017-10-16 |
| 1083125215 | Paradise Oaks Youth Services | Community Based Residential Treatment Facility, Mental Illness | 6832 Rosa Vista Ln, Citrus Heights, CA 95610-3920 | 2017-10-16 |
| 1356852636 | Paradise Oaks Youth Services | Community Based Residential Treatment Facility, Mental Illness | 7331 Hazel Ave, Orangevale, CA 95662-2440 | 2017-10-13 |
| 1225549686 | Paradise Oaks Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4221 Waymar Ct, Carmichael, CA 95608-1659 | 2017-10-12 |
| 1912361932 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 8208 Olivine Ave, Citrus Heights, CA 95610-3223 | 2016-04-06 |
| 1134580228 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7441 Hickory Ave, Orangevale, CA 95662-2305 | 2016-03-16 |
| 1154782977 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 8529 Florin Rd, Sacramento, CA 95828-2612 | 2016-03-08 |
| 1811192123 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7697 Madison Ave, Citrus Heights, CA 95610-7516 | 2007-06-18 |
| 1194920405 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7730 Antelope Rd, Citrus Heights, CA 95610-2311 | 2007-06-18 |
| Street Address |
8297 SUNSET AVE |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775277 | Gateway Residential Programs Palm House | Community Based Residential Treatment Facility, Mental Illness | 7241 Palm Ave, Fair Oaks, CA 95628-3314 | 2020-06-17 |
| 1023634862 | Gateway Residential Programs Winding House | Community Based Residential Treatment Facility, Mental Illness | 7441 Winding Way, Fair Oaks, CA 95628-6749 | 2020-06-17 |
| 1295351039 | Gateway Residential Programs Fair Oaks House | Community Based Residential Treatment Facility, Mental Illness | 11990 Fair Oaks Blvd, Fair Oaks, CA 95628-2770 | 2020-06-17 |
| 1255667234 | Sierra Stonegate | Community Based Residential Treatment Facility, Mental Illness | 4140 Buchanan Dr, Fair Oaks, CA 95628-6104 | 2009-10-26 |
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| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.