HORIZON SERVICES, INCORPORATED (NPI# 1689961617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689961617 |
Entity Type | Organization |
Organization Name | HORIZON SERVICES, INCORPORATED |
Other Organization Name | PALM AVENUE DETOX |
Practice Address |
2251 Palm Ave San Mateo CA 94403-1814 |
Mailing Address |
Po Box 4217 Hayward CA 94540-4217 |
Practice Telephone | 6505136500 |
Practice Fax Number | 6503457023 |
Mailing Telephone | 5105822100 |
Mailing Fax Number | 5105821221 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2017-09-26 |
Authorized Official Name | MARK CLOUTIER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5105822100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Palm Avenue Detox | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548744170 | Horizon Services, Incorporated | Substance Abuse Rehabilitation Facility | 1020 Serpentine Ln, Pleasanton, CA 94566-4758 | 2018-09-19 |
1396248480 | Horizon Services, Incorporated | Community/Behavioral Health | 151 W Mission St, San Jose, CA 95110-1713 | 2018-03-14 |
Street Address |
2251 PALM AVE |
City | SAN MATEO |
State | CA |
Zip Code | 94403-1814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316586431 | Jenny Marie Bresee | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2020-01-06 |
1942798939 | Allen Randle Jr. | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2018-04-25 |
1538660675 | Joshua Shargel | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2018-02-23 |
1306345574 | Angela Rose Ball | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2018-02-02 |
1831605294 | Frank Ruano | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2017-12-21 |
1659809549 | Gordon Kevin Ford Jr. | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2017-05-23 |
1578921177 | Pete Ponce | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2016-02-10 |
1013344142 | Glenn West IIi | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2013-10-03 |
1619303146 | William Little | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2013-09-16 |
1679811400 | Tobias Scott Whipple | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2013-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
Find all providers in zip 94403 |
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 |
---|---|---|---|---|
1164853644 | Caminar | Substance Abuse Rehabilitation Facility | 247 Delaware Avenue, San Mateo, CA 94401 | 2013-12-09 |
1154752103 | Caminar | Substance Abuse Rehabilitation Facility | 31 9th Ave, San Mateo, CA 94401-4302 | 2013-12-02 |
1659702561 | Caminar | Substance Abuse Rehabilitation Facility | 1451 Young St, San Mateo, CA 94401-3522 | 2013-12-02 |
1356772263 | Caminar | Substance Abuse Rehabilitation Facility | 23 N Grant St, 29 N Grant St, San Mateo, CA 94401 | 2013-12-02 |
1215368253 | Caminar | Substance Abuse Rehabilitation Facility | 114 Delaware Street, San Mateo, CA 94401 | 2013-12-02 |
1891962692 | Caminar | Substance Abuse Rehabilitation Facility | 15 9th Ave, San Mateo, CA 94401-4302 | 2008-05-12 |
1053967661 | Anthony Mccrory | Substance Abuse Rehabilitation Facility | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-08-11 |
1992137798 | Caminar | Substance Abuse Rehabilitation Facility | 720 S B St, San Mateo, CA 94401-4245 | 2013-08-02 |
1316209711 | Healthright 360 | Substance Abuse Rehabilitation Facility | 202 E Bellevue Ave, San Mateo, CA 94401-2305 | 2012-06-12 |
1144587379 | Healthright 360 | Substance Abuse Rehabilitation Facility | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2012-04-12 |
Find all providers in SAN MATEO |
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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.