CARLEY RETA (NPI# 1528440062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528440062 |
| Entity Type | Individual |
| Full Name | CARLEY RETA |
| Practice Address |
3356 W Avenue L6 Lancaster CA 93536-4145 |
| Practice Telephone | 6618026483 |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2015-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
3356 W AVENUE L6 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598118952 | Tonya Carline | Day Training/Habilitation Specialist | 1018 Langhorn St, Lancaster, CA 93535-2782 | 2016-07-20 |
| 1144690983 | Denise Green | Day Training/Habilitation Specialist | 1608 W Avenue K8 Apt 207, Lancaster, CA 93534-5939 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830656 | Vincent Sheu | Day Training/Habilitation Specialist | 13700 Lexington Ct, Saratoga, CA 95070-4933 | 2020-04-23 |
| 1124503610 | Dawn Rene Pennepacker | Day Training/Habilitation Specialist | 935 W San Marcos Blvd Ste 103, San Marcos, CA 92078-1142 | 2018-10-01 |
| 1184157208 | San Diego Rehab and Fitness | Day Training/Habilitation Specialist | 4184 Madison Ave, San Diego, CA 92116-4709 | 2017-04-05 |
| 1427391879 | Alma Cecilia Calvillo | Day Training/Habilitation Specialist | 416 W Pear St, Compton, CA 90222-3932 | 2013-04-04 |
| 1336393883 | Carol Ann Ford Shintani | Day Training/Habilitation Specialist | 21886 Winnebago Ln, Lake Forest, CA 92630-2321 | 2008-11-11 |
| 1609914837 | Troy Scott Furman | Day Training/Habilitation Specialist | 1550 Fillmore St, 211, San Francisco, CA 94115-3557 | 2007-02-01 |
| 1659450443 | Armi Guzman | Day Training/Habilitation Specialist | 446 26th St, San Diego, CA 92102-3026 | 2006-11-03 |
| 1942386636 | Marshall C. Smith | Day Training/Habilitation Specialist | 4660 Viewridge Ave, San Diego, CA 92123-1638 | 2006-10-27 |
| 1245311752 | Timothy Willims | Day Training/Habilitation Specialist | 446 26th St Fl 6, San Diego, CA 92102-3026 | 2006-10-18 |
| 1144820150 | Monica Claire Salandra | Day Training/Habilitation Specialist | 800 N 1st St, San Jose, CA 95112-6312 | 2020-10-28 |
| 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.