ST. JOSEPH CENTER HOMELESS SERVICE (NPI# 1740424183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740424183 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH CENTER HOMELESS SERVICE |
| Practice Address |
404 Lincoln Blvd Venice CA 90291-2829 |
| Practice Telephone | 3103996878 |
| Practice Fax Number | 3103991339 |
| Mailing Telephone | 3103996878 |
| Mailing Fax Number | 3103991339 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | NICK MAIORINO (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 3103966468 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOSEPH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
404 LINCOLN BLVD |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033430822 | Kimberly Larson | Counselor | 404 Lincoln Blvd, Venice, CA 90291-2829 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| 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 |
|---|---|---|---|---|
| 1093094641 | Moving Lives Forward | Case Management | 38 Dudley Ave Apt A, Venice, CA 90291-2405 | 2011-08-15 |
| 1639434426 | St. Joseph Center | Case Management | 204 Hampton Dr, Venice, CA 90291-2623 | 2012-07-09 |
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|---|---|---|---|---|
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| 1336747013 | Advanced Healthcare Administration | Case Management | 124 N Tustin Ave, Anaheim, CA 92807-2764 | 2020-10-14 |
| 1760080691 | Primocare, LLC | Case Management | 1 Embarcadero Ctr Ste 400, San Francisco, CA 94111-3619 | 2020-10-13 |
| 1184222044 | Shs Senior Care Los Angeles Inc | Case Management | 8939 S Sepulveda Blvd Ste 350, Los Angeles, CA 90045-3657 | 2020-10-13 |
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1407463961 | Helping Hands Inspire Happy Hearts, LLC | Case Management | 7083 Hollywood Blvd Ste 4069, Los Angeles, CA 90028-8901 | 2020-09-29 |
| 1487272688 | Caring About Lives | Case Management | 4197 4th Ave, Los Angeles, CA 90008-3901 | 2020-07-14 |
| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
| 1740805100 | Dhruv Manchala | Case Management | 13970 Albar Ct, Saratoga, CA 95070-9718 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
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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.