EVOLVE GROWTH INITIATIVES, LLC


Address: 263 Montego Dr, Danville, CA 94526-4842
Phone: 4242903341

EVOLVE GROWTH INITIATIVES, LLC (NPI# 1548721186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548721186
Entity Type Organization
Organization Name EVOLVE GROWTH INITIATIVES, LLC
Other Organization Name EVOLVE TREATMENT CENTERS - DANVILLE
Practice Address 263 Montego Dr
Danville
CA 94526-4842
Mailing Address 300 N Pacific Coast Hwy Ste 2060
El Segundo
CA 90245-4479
Practice Telephone 4242903341
Mailing Telephone 4242903341
Enumeration Date 2019-03-27
Last Update Date 2020-08-20
Authorized Official Name EDDY LAI (CONTROLLER)
Authorized Official Telephone 7723619705
Is Organization Subpart Y
Parent Organization Name EVOLVE GROWTH INITIATIVES, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
N 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Evolve Treatment Centers - Danville Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689114258 Evolve Growth Initiatives, LLC Community Based Residential Treatment Facility, Mental Illness 11585 Sorrento Valley Rd Ste 100, San Diego, CA 92121 2017-03-02
1972055812 Evolve Growth Initiatives, LLC Psychiatric Residential Treatment Facility 820 Moraga Drive, Los Angeles, CA 90049 2016-10-26
1780130088 Evolve Growth Initiatives, LLC Clinic/Center 5358 Vanalden Drive, Tarzana, CA 91356 2016-08-28
1356793947 Evolve Growth Initiatives, LLC Clinic/Center 4810 Azucena Rd, Woodland Hills, CA 91364 2016-07-07
1972955649 Evolve Growth Initiatives, LLC Community Based Residential Treatment Facility, Mental Illness 799 Camarillo Springs Road, Ventura, CA 93012 2016-07-06
1083161574 Evolve Growth Initiatives, LLC Substance Abuse Rehabilitation Facility 820 Moraga Dr, Los Angeles, CA 90049-1632 2016-09-01

Office Location

Street Address 263 MONTEGO DR
City DANVILLE
State CA
Zip Code 94526-4842

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346706363 Todd M Yonemura Dds, Apc Dentist 400 El Cerro Blvd., Suite #103, Danville, CA 94526 2019-02-14
1821585415 Cynthia N Atchoukeu Behavior Technician 811 San Ramon Valley Suite 100, Danville, CA 94526 2018-04-18
1649708850 Michelle Nicole Kolander Specialist/Technologist 209 Rutherford Dr, Danville, CA 94526 2017-06-01
1396155594 Laurie Elizabeth Wallis Registered Nurse 145 Town & Country Blvd., Suite 106, Danville, CA 94526 2014-04-28
1437585486 Brielle Shipman Chiropractor 391 Diablo Rd, Ste B, Danville, CA 94526 2013-09-23
1841626298 Gloria Lynn Kopp Nurse Practitioner 309 Windstream Place, Danville, CA 94526 2013-09-17
1023378635 Vision Dynamics Optometric Center Optometrist 417 Sycamore Valley Road West, Danville, CA 94526 2012-05-17
1346517620 Adam Wallach,m.d. A Professional Corporation Specialist 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 2011-11-30
1184949661 Judianne Marguriette Walker Podiatrist 1320 El Capitan Ste 410, Danville, CA 94526 2010-03-29
1619108685 Brandon Riggins Counselor 115 Town and Country Dr., Danville, CA 94526 2009-08-07
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538244 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 10525 Fuerte Dr, La Mesa, CA 91941-4350 2020-11-05
1154922458 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 24171 Grayston Dr, Lake Forest, CA 92630-3839 2020-11-03
1003417684 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 1155 Hoover St, Carlsbad, CA 92008-4230 2020-11-02
1497356075 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 405 N Tremont St, Oceanside, CA 92054-2535 2020-11-02
1467053041 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 2020-11-02
1366043937 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 2020-11-02
1730780313 Orchid Court, Inc. Community Based Residential Treatment Facility, Mental Illness 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 2020-11-02
1477151199 Inspiring Pathways, Inc. Community Based Residential Treatment Facility, Mental Illness 1798 Bryman St, Hanford, CA 93230-7144 2020-10-14
1356949226 Wings Recovery Center, Inc. Community Based Residential Treatment Facility, Mental Illness 3134 Morningside Dr, Oceanside, CA 92056-4401 2020-10-13
1326645904 New Passages Group Home, Inc. Community Based Residential Treatment Facility, Mental Illness 5675 E Ashlan Ave, Fresno, CA 93727-7220 2020-10-06
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Competitor

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City DANVILLE
Zip Code 94526

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Dataset Information

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.

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