JELANI, INC (NPI# 1619018314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619018314 |
| Entity Type | Organization |
| Organization Name | JELANI, INC |
| Other Organization Name | JELANI FAMILY PROGRAM |
| Practice Address |
1638 Kirkwood Ave San Francisco CA 94124-2137 |
| Mailing Address |
1601 Quesada Ave San Francisco CA 94124-2334 |
| Practice Telephone | 4156711165 |
| Practice Fax Number | 4159700438 |
| Mailing Telephone | 4158225977 |
| Mailing Fax Number | 4158225943 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARGARET GOLD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4158225940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 380045DN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REPORTING UNIT NUMBER | 38502 | 01 |
| Other Name | Type Code |
|---|---|
| Jelani Family Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306986377 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 2261 Bryant St, San Francisco, CA 94110-2833 | 2007-02-07 |
| 1548300551 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2007-02-07 |
| 1093240012 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2017-04-27 |
| 1770623050 | Jelani, Inc | Community/Behavioral Health | 1601 Quesada Ave, San Francisco, CA 94124-2334 | 2007-02-07 |
| Street Address |
1638 KIRKWOOD AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94124-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063035285 | Thomas Jones | Specialist | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2020-05-21 |
| 1477175099 | Ariyana Gray | Specialist | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2020-05-18 |
| 1619598745 | Andrea Evans | Specialist | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2020-04-29 |
| 1851957393 | Bayview Hunters Point Foundation for Community Improvement, Inc. | Case Management | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2019-05-09 |
| 1184188518 | Melanie Kolby | Community Health Worker | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2019-01-30 |
| 1619431962 | Veronica Joseph | Counselor | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2019-01-30 |
| 1588135537 | Latrice Nicole Daniels | Community Health Worker | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2018-12-16 |
| 1245729292 | Camry Adams | Community Health Worker | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2018-05-04 |
| 1013304708 | John Bancalari | Counselor | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2015-04-20 |
| 1770858201 | Jay Donald Alton | Student in an Organized Health Care Education/Training Program | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2012-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597525 | Valeria Elizabeth Diaz | Technician, Other | 1227 Revere Ave, San Francisco, CA 94124 | 2018-05-09 |
| 1164929915 | Derrick Tuckerson | Registered Nurse | 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124 | 2018-04-09 |
| 1518469766 | Skycoast Mobility, LLC | Non-emergency Medical Transport (VAN) | 1485 Bayshore Blvd., Suite #320a, San Francisco, CA 94124 | 2018-03-04 |
| 1811419484 | Kayla Leininger | Counselor | 3801 3rd St., 400, San Francisco, CA 94124 | 2017-07-14 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1518362201 | Southeast Health Clinic, Department of Public Health | Clinic/Center | 2401 Keith Ave, San Francisco, CA 94124 | 2014-10-24 |
| 1629489299 | Bayview Hunter Point Foundation | Community/Behavioral Health | 1075 Leconte Street, San Francisco, CA 94124 | 2014-05-16 |
| 1558797936 | Mickey Diner Stein | Student in an Organized Health Care Education/Training Program | 3801 Third Street, Suite 400, San Francisco, CA 94124 | 2013-09-18 |
| 1164797916 | Ronnie Muniz | Counselor | 5015 Third Street, San Francisco, CA 94124 | 2012-03-13 |
| 1265717144 | Marq'uis Amari-hakeem Reid | Counselor | 1625 Carroll Avenue, San Francisco, CA 94124 | 2011-10-11 |
| Find all providers in zip 94124 | ||||
| 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 |
|---|---|---|---|---|
| 1518414150 | Tanya Mcspadden Jamaica | Substance Abuse Rehabilitation Facility | 255 10th Avenue, San Francisco, CA 94118 | 2016-09-01 |
| 1770859647 | Michael L. Red | Substance Abuse Rehabilitation Facility | 637 So. Van Ness Ave., San Francisco, CA 94110 | 2012-03-26 |
| 1902124027 | Healthright 360 | Substance Abuse Rehabilitation Facility | 625 13th St, San Francisco, CA 94130-2005 | 2010-05-13 |
| 1053576694 | Salvation Army Harbor Light Center | Substance Abuse Rehabilitation Facility | 1275 Harrison Street, San Francisco, CA 94103 | 2008-07-23 |
| 1619171337 | Michael A Huff | Substance Abuse Rehabilitation Facility | 564 6th St, San Francisco, CA 94103-4708 | 2007-06-14 |
| 1578778130 | Community Awareness & Treatment Services | Substance Abuse Rehabilitation Facility | 1446 Market St, San Francisco, CA 94102-6004 | 2007-05-14 |
| 1750596300 | Center On Juvenile and Criminal Justice | Substance Abuse Rehabilitation Facility | 40 Boardman Pl, San Francisco, CA 94103-4729 | 2007-05-14 |
| 1619182409 | Community Awareness & Treatment Services, Inc. | Substance Abuse Rehabilitation Facility | 637 S Van Ness Ave, San Francisco, CA 94110-1305 | 2007-05-14 |
| 1619007986 | A Woman's Place | Substance Abuse Rehabilitation Facility | 1049 Howard St, San Francisco, CA 94103-2822 | 2007-03-06 |
| 1306986377 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 2261 Bryant St, San Francisco, CA 94110-2833 | 2007-02-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94124 |
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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.