NEIGHBORHOOD HOUSE OR NORTH RICHMOND (NPI# 1538364054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538364054 |
Entity Type | Organization |
Organization Name | NEIGHBORHOOD HOUSE OR NORTH RICHMOND |
Other Organization Name | HOLLOMAN |
Practice Address |
820 23rd St Richmond CA 94804-1338 |
Practice Telephone | 5102295000 |
Practice Fax Number | 5102353112 |
Mailing Telephone | 5102295000 |
Mailing Fax Number | 5102353112 |
Enumeration Date | 2007-06-15 |
Last Update Date | 2008-06-17 |
Authorized Official Name | MS. VERONICA L. KING (OPERATIONS MANAGER) |
Authorized Official Telephone | 5102295053 |
Authorized Official Credential | BA, RAS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 070004 | CA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Holloman | Other Name - Individual/Organization |
Street Address |
820 23RD ST |
City | RICHMOND |
State | CA |
Zip Code | 94804-1338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407072986 | Neighborhood House of North Richmond | Substance Abuse Rehabilitation Facility | 820 23rd St, Richmond, CA 94804-1338 | 2007-04-17 |
1922395672 | William Lee Huff | Counselor | 820 23rd St, Richmond, CA 94804 | 2011-07-01 |
1457677858 | Janae Patrice Moore | Counselor | 820 23rd St, Richmond, CA 94804 | 2010-04-12 |
1528382231 | John Phillip Maldonado | Counselor | 820 23rd St, Richmond, CA 94804 | 2010-03-24 |
1043454127 | Deborah Lynn Smith | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2009-04-21 |
1174766414 | Stanley Vaughn | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2009-04-16 |
1558504886 | Robert Jones | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2009-04-16 |
1114160447 | Willard Jones | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2009-04-16 |
1255574596 | Mark Marolt | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2009-04-16 |
1437337185 | Darryl A. Scott | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2008-02-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
Find all providers in zip 94804 |
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 |
---|---|---|---|---|
1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
1396194346 | Daynetta Bernstine | Substance Abuse Rehabilitation Facility | 311 W Macdonald Ave, Richmond, CA 94801-2965 | 2016-06-10 |
1902122799 | Halcyon Womens Center | Substance Abuse Rehabilitation Facility | 6712 Casey Savannah Ln, Richmond, VA 23234-8011 | 2010-04-19 |
1407072986 | Neighborhood House of North Richmond | Substance Abuse Rehabilitation Facility | 820 23rd St, Richmond, CA 94804-1338 | 2007-04-17 |
1407934672 | Rubicon, Inc | Substance Abuse Rehabilitation Facility | 2825 Rady St, Richmond, VA 23222-4097 | 2006-11-02 |
1396399101 | Westcare California, Inc. | Substance Abuse Rehabilitation Facility | 208 23rd St, Richmond, CA 94804-1830 | 2019-07-30 |
1164967865 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 | 2017-01-04 |
1508300161 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite A, Richmond, IN 47374-2851 | 2016-12-15 |
1225419641 | Kerry Vincent | Substance Abuse Rehabilitation Facility | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2015-06-11 |
Find all providers in RICHMOND |
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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.