TELECARE AGE WISE (NPI# 1639513310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639513310 |
| Entity Type | Organization |
| Organization Name | TELECARE AGE WISE |
| Practice Address |
6160 Mission Gorge Rd Ste 108 San Diego CA 92120-3425 |
| Practice Telephone | 6194815200 |
| Mailing Telephone | 6194815200 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | KATHY KIM MAI (PERSONAL SERVICE COORDINATOR II) |
| Authorized Official Telephone | 6194815200 |
| Authorized Official Credential | BA, SOCIOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
6160 MISSION GORGE RD STE 108 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114119591 | Dara Reyes | Psychologist | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2007-08-09 |
| 1457951212 | Britney Alexis Francois | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-10-29 |
| 1659987311 | Caroline Gonzales | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-09-18 |
| 1528674553 | Darianne Lynn Cherry | Counselor | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-09-16 |
| 1407467327 | Reian Lynn Clewley | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-08-13 |
| 1215548367 | Ashley Marie Collier | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-08-12 |
| 1487264016 | Armonie Elizabeth Mendez | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-08-07 |
| 1447873971 | Kathleen B Ardell | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-05-19 |
| 1649892431 | Briana Christina Sneddon | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-05-14 |
| 1952937393 | Kelly Knight | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148692 | North County Therapy for Young Men | Case Management | 5985 El Cajon Blvd, San Diego, CA 92115-3827 | 2019-01-24 |
| 1518444900 | Life Resource and Developement | Case Management | 3295 Meade Ave, San Diego, CA 92116-4557 | 2018-07-27 |
| 1083163067 | Sober Coaches of California LLC | Case Management | 5980 Dandridge Ln, Unit 208, San Diego, CA 92115-6580 | 2016-10-01 |
| 1689121972 | Ebony P Brown | Case Management | 3725 Old Cobble Rd, San Diego, CA 92111-4051 | 2016-09-05 |
| 1598122871 | Primary Care Health Network LLC | Case Management | 7535 Metropolitan Dr, San Diego, CA 92108-4402 | 2016-01-18 |
| 1033545066 | Christie's Place, Inc. | Case Management | 2440 3rd Ave, San Diego, CA 92101-1516 | 2013-09-23 |
| 1235400490 | Family Youth Roundtable of San Diego County | Case Management | 345 15th St, Suite A, San Diego, CA 92101-8951 | 2012-01-19 |
| 1831467752 | Marylin Joy Williams | Case Management | 4851 Casals Pl, San Diego, CA 92124-1502 | 2011-12-06 |
| 1144509878 | International Care LLC | Case Management | 200 Harbor Dr, #501, San Diego, CA 92101-7049 | 2011-08-11 |
| 1679875710 | Heavenly Angels Home Care | Case Management | 4709 Mount Abernathy Ave, San Diego, CA 92117-3340 | 2010-11-22 |
| Find all providers in SAN DIEGO | ||||
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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.