FRONT ST INC (NPI# 1730306382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730306382 |
| Entity Type | Organization |
| Organization Name | FRONT ST INC |
| Other Organization Name | OPAL CLIFF RESIDENTIAL CENTER |
| Practice Address |
4795 Opal Cliff Dr Capitola CA 95062-5229 |
| Mailing Address |
2115 7th Ave Santa Cruz CA 95062-1663 |
| Practice Telephone | 8314200120 |
| Practice Fax Number | 8314200136 |
| Mailing Telephone | 8314200120 |
| Mailing Fax Number | 8314200136 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | ANN M. BUTLER (PRESIDENT) |
| Authorized Official Telephone | 8314200120 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRONT ST INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PRV NBR | 4476 | 01 |
| Other Name | Type Code |
|---|---|
| Opal Cliff Residential Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598984650 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 707 Darwin St, Santa Cruz, CA 95062-2208 | 2007-04-25 |
| 1760609044 | Front St Inc | Case Management | 400 Foam St, Suite A, Monterey, CA 93940-1449 | 2007-04-19 |
| 1710210505 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 399 Drake Ave, Monterey, CA 93940-7504 | 2009-09-10 |
| 1922242734 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 303 Potrero St, Ste 103, Santa Cruz, CA 95060-2741 | 2009-04-23 |
| 1770703357 | Front St Inc | Case Management | 126 Front St, A, Santa Cruz, CA 95060-4402 | 2007-04-26 |
| 1982823043 | Front St Inc | Case Management | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2007-04-25 |
| 1679790208 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 126 Front St, Santa Cruz, CA 95060-4402 | 2007-04-18 |
| 1841417409 | Front St Inc | Case Management | 155 Willowbrook Dr, Ben Lomond, CA 95005-9714 | 2007-04-18 |
| Street Address |
4795 OPAL CLIFF DR |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95062-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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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.