KIVA (NPI# 1669801981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669801981 |
| Entity Type | Organization |
| Organization Name | KIVA |
| Practice Address |
2049 Skyline Dr Lemon Grove CA 91945-4221 |
| Practice Telephone | 6194657303 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | MS. SHARON CELESTE JOHNSON I (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 6196559897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kiva 223 LLC | 4301 E Cedar Ave, Denver, CO 80246 |
| Colorado Business Entities | Kiva 328 LLC | 105 Edwards Village Boulevard, Suite C-210, Edwards, CO 81632 |
| Colorado Business Entities | Kiva 432 LLC | 105 Edwards Village Boulevard, Suite C-210, Edwards, CO 81632 |
| Colorado Business Entities | Kiva Apartments One LLC | 7305 Lowell Blvd., Suite 200, Westminster, CO 80030 |
| Colorado Business Entities | Kiva Apartments Two LLC | 7305 Lowell Blvd., Suite 200, Westminster, CO 80030 |
| Colorado Business Entities | Kiva Apartments, LLC | 237 Broadway, Alamosa, CO 81101 |
| New York State Corporations | KIVA ARTS AND EDUCATION, INC. | 61 East 8th Street, Suite 336, New York, Ny 10003 |
| Indiana Business Entities | KIVA AVIATION, LLC | 809 Rugby Pl, Louisville, KY 40222 |
| System for Award Management (SAM) Entities | KIVA BIOLOGICAL CONSULTING | 8626 Las Flores Ave, Inyokern, CA 93527-2922 |
| Colorado Business Entities | Kiva Brands, Inc. | 2300 North Loop Road, Alameda, CA 94502 |
| Street Address |
2049 SKYLINE DR |
| City | LEMON GROVE |
| State | CA |
| Zip Code | 91945-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265550933 | James Corley | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2007-03-27 |
| 1881294957 | Chelsea Anne Price | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-28 |
| 1851991087 | Tony Rico | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-27 |
| 1720687437 | Jonathan Ruthles Boyd | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-23 |
| 1104424472 | Virginia Dolford | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-09 |
| 1417554700 | Courtney Sucameli | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-08 |
| 1376140012 | Kathy Monserrat Calderon | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-06 |
| 1972110070 | Leanne Marie Perryman | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-09-23 |
| 1205449097 | Bernard Chen | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-08-31 |
| 1083223994 | Maria Rebecca Chavez | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
| 1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
| 1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
| 1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
| 1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
| 1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
| Find all providers in zip 91945 | ||||
| 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 |
|---|---|---|---|---|
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1326440231 | Terri Sickels | Substance Abuse Rehabilitation Facility | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2014-09-23 |
| 1750706586 | Rodney Williams II | Substance Abuse Rehabilitation Facility | 2219 Odessa Ct, Lemon Grove, CA 91945-3609 | 2014-03-04 |
| 1376794412 | Evonne Grays | Substance Abuse Rehabilitation Facility | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2008-10-07 |
| 1144408428 | Robin Kaye Ellis-browning | Substance Abuse Rehabilitation Facility | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | LEMON GROVE |
| Zip Code | 91945 |
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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.