ORANGE COUNTY HALFWAY HOUSE, INC. (NPI# 1629132329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629132329 |
| Entity Type | Organization |
| Organization Name | ORANGE COUNTY HALFWAY HOUSE, INC. |
| Other Organization Name | ORANGE COUNTY YOUTH & FAMILY SERVICES |
| Practice Address |
12702 Josephine St Garden Grove CA 92841-4668 |
| Mailing Address |
1415 E 17th St Suite 100 Santa Ana CA 92705-8525 |
| Practice Telephone | 7146368222 |
| Practice Fax Number | 7146360831 |
| Mailing Telephone | 7145438468 |
| Mailing Fax Number | 7145431064 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SOO E. KANG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7145438468 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300160AN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Orange County Youth & Family Services | Doing Business As Name - Organization |
| Street Address |
12702 JOSEPHINE ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| 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 |
|---|---|---|---|---|
| 1255971115 | Rehab Healing Centers | Substance Abuse Rehabilitation Facility | 12081 Morgan Ln, Garden Grove, CA 92840-3708 | 2020-01-08 |
| 1871930966 | Cactus Gardens Opportunity House, Inc | Substance Abuse Rehabilitation Facility | 13212 Chapman Ave, Garden Grove, CA 92840-4414 | 2013-05-29 |
| 1124115456 | Oscar Iglesias | Substance Abuse Rehabilitation Facility | 9842 13th St Ste B, Garden Grove, CA 92844-3171 | 2006-10-06 |
| 1932732450 | Elaine Grear | Substance Abuse Rehabilitation Facility | 12081 Morgan Ln, Garden Grove, CA 92840-3708 | 2020-02-13 |
| 1356890073 | Morningside Recovery, LLC | Substance Abuse Rehabilitation Facility | 9842 13th St, Garden Grove, CA 92844-3171 | 2016-09-22 |
| 1093174302 | Joshua House, LLC | Substance Abuse Rehabilitation Facility | 9842 13th St, Garden Grove, CA 92844-3171 | 2016-02-15 |
| 1356762264 | Unidos Recovery Home | Substance Abuse Rehabilitation Facility | 9842 13th St Ste B, Garden Grove, CA 92844-3171 | 2013-12-18 |
| 1720327273 | California Hispanic Commission | Substance Abuse Rehabilitation Facility | 9842 13th St, Suite B, Garden Grove, CA 92844-3171 | 2013-02-04 |
| 1578871604 | Unidos Recovery Home | Substance Abuse Rehabilitation Facility | 9842 13th St, B, Garden Grove, CA 92844-3171 | 2010-09-23 |
| 1275841835 | California Hispanic Commision | Substance Abuse Rehabilitation Facility | 9842 13th St Ste B, Garden Grove, CA 92844-3171 | 2010-09-16 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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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.