TERRA BELLA COMMUNITIES (NPI# 1588830657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588830657 |
| Entity Type | Organization |
| Organization Name | TERRA BELLA COMMUNITIES |
| Practice Address |
237 Shadowrun Ct. Redding CA 96003 |
| Mailing Address |
7990 Westwood Drive Gilroy CA 95020 |
| Practice Telephone | 5302471862 |
| Practice Fax Number | 5302470987 |
| Mailing Telephone | 4087132770 |
| Mailing Fax Number | 4087132778 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | CARLA MCCORMACK (LICENSEE) |
| Authorized Official Telephone | 4087132770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities | ||
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 230000320 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 55G417 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275700239 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 1119 Ayer Street, Gilroy, CA 95020 | 2008-05-09 |
| 1801063862 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 7630 Wren Avenue, Gilroy, CA 95020 | 2008-05-09 |
| 1376710335 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 797 Lawrence Drive, Gilroy, CA 95020 | 2008-05-09 |
| 1285801241 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 1010 San Miguel Rd., Gilroy, CA 95020 | 2008-05-09 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| Street Address |
237 SHADOWRUN CT. |
| City | REDDING |
| State | CA |
| Zip Code | 96003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1184818544 | Clifford Hepburn | Marriage & Family Therapist | 1424 White Water Circle, Redding, CA 96003 | 2007-08-29 |
| Find all providers in zip 96003 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750779393 | North Valley Developmental Services Inc. | Intermediate Care Facility, Mentally Retarded | 3329 Old Lantern Dr, Redding, CA 96003-2179 | 2015-01-06 |
| 1326200817 | Mission Provider Services Inc | Intermediate Care Facility, Mentally Retarded | 2970 Innsbruck Dr Ste C, Redding, CA 96003-9303 | 2008-06-26 |
| 1225171283 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1476 Oak Mesa Ln, Redding, CA 96003-9600 | 2007-02-15 |
| 1265588677 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 3438 Showboat Ct, Redding, CA 96003-5327 | 2007-01-26 |
| 1174679583 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1916 Herbscenta Ln, Redding, CA 96003-1135 | 2007-01-26 |
| 1356497762 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2204 Deerfield Ave, Redding, CA 96002-0432 | 2007-01-26 |
| 1447306857 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 3810 Canterbury Dr, Redding, CA 96002-4888 | 2007-01-26 |
| 1770639668 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1974 Cirrus St, Redding, CA 96002-3330 | 2007-01-25 |
| 1649326547 | Mission Provider Services, Inc. | Intermediate Care Facility, Mentally Retarded | 11560 Wilvern Ln, Redding, CA 96003-8619 | 2007-01-25 |
| 1962476432 | North Valley Developmental Services Inc | Intermediate Care Facility, Mentally Retarded | Harpole Rd., Redding, CA 96002 | 2006-02-14 |
| Find all providers in REDDING | ||||
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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.