CASA DE AMPARO (NPI# 1609275676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609275676 |
| Entity Type | Organization |
| Organization Name | CASA DE AMPARO |
| Practice Address |
325 Buena Creek Rd San Marcos CA 92069-9679 |
| Mailing Address |
14934 Budwin Ln Poway CA 92064-3011 |
| Practice Telephone | 7607545510 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | TAMARA FLECK-MYERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7605663555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 36846 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235482837 | Casa De Amparo | Foster Care Agency | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2012-10-19 |
| 1588868525 | Casa De Amparo | Residential Treatment Facility, Emotionally Disturbed Children | 3355 Mission Ave, Oceanside, CA 92054-1326 | 2007-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASA DE AMPARO | 325 Buena Creek Rd, San Marcos, CA 92069-9679 |
| Street Address |
325 BUENA CREEK RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-9679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417011453 | Marite Cadenas | Counselor | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2006-12-21 |
| 1730796939 | Brandy Itiyah Suzan Williams | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-09-30 |
| 1154937860 | Michelle Paige Hoffman | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-09-17 |
| 1740896562 | Krystle L Trautz | Counselor | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-09-17 |
| 1396364626 | Jaimie Y Lezama | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-04-16 |
| 1942829890 | Elsa Laura Rodriguez | Case Manager/Care Coordinator | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-04-10 |
| 1407485717 | Natasha N Thomas | Counselor | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2020-04-07 |
| 1811534662 | Georgia Panagiotou | Student in an Organized Health Care Education/Training Program | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2019-11-27 |
| 1891342374 | Raya Sepanik Klooster | Counselor | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2019-08-20 |
| 1912553645 | Myia Vignola | Student in an Organized Health Care Education/Training Program | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023141231 | Casa De Amparo, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 325 Buena Creek Road, San Marcos, CA 92069 | 2007-03-14 |
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|---|---|---|---|---|
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| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.