NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC. (NPI# 1528273836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528273836 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA ADAPTIVE LIVING CENTER, INC. |
| Other Organization Name | REDWOOD VALLEY FACILITY |
| Practice Address |
7501 Uva Dr Redwood Valley CA 95470-6213 |
| Mailing Address |
3028 Esplanade Suite H Chico CA 95973-4924 |
| Practice Telephone | 7074855168 |
| Practice Fax Number | 7074851137 |
| Mailing Telephone | 5308942726 |
| Mailing Fax Number | 5308942798 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN C KOLAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5308942726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | LTC60198I | 01 |
| Other Name | Type Code |
|---|---|
| Redwood Valley Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578779286 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1116 W Perkins St, Ukiah, CA 95482-4625 | 2007-05-16 |
| 1255544276 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 850 Road N, Redwood Valley, CA 95470-6433 | 2007-05-07 |
| 1609089630 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1000 Sanford Ranch Rd, Ukiah, CA 95482-5241 | 2007-05-07 |
| 1043423155 | Northern California Adaptive Living Center, Inc. | Intermediate Care Facility, Mentally Retarded | 3028 Esplanade, Suite H, Chico, CA 95973-4924 | 2007-05-07 |
| Street Address |
7501 UVA DR |
| City | REDWOOD VALLEY |
| State | CA |
| Zip Code | 95470-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792783 | Salina Benitez | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2016-11-16 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1104459585 | Kara-faye Ingram | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2020-02-13 |
| 1104457266 | Dominique Serna-heal | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-28 |
| 1598395287 | Stephanie Campos | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-22 |
| 1003452566 | Salina Perales | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1023654464 | Jasmine Quilter | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-20 |
| 1871139360 | Eliyah Smith | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1821633421 | Zobeyda Bojorquez | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-07 |
| 1033614979 | Kayla Hickey | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2018-03-23 |
| Find all providers in zip 95470 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD VALLEY |
| Zip Code | 95470 |
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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.