GLENDORA RECOVERY CENTER (NPI# 1750849071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750849071 |
| Entity Type | Organization |
| Organization Name | GLENDORA RECOVERY CENTER |
| Practice Address |
1135 E Route 66 Ste 209 Glendora CA 91740-3778 |
| Practice Telephone | 6265940881 |
| Practice Fax Number | 6265940883 |
| Mailing Telephone | 6263534289 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | BRITTANY ROBERTS-PRICE (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6265333309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1135 E ROUTE 66 STE 209 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-3778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669815064 | Medcare Plus Home Health Providers, Inc. | Home Health | 1135 E Route 66 Ste 209, Glendora, CA 91740-3778 | 2013-04-16 |
| 1164987376 | Second Chance Recovery Inc | Clinic/Center | 1135 E Route 66 Ste 209, Glendora, CA 91740-3778 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472838 | Chameleon Davis | Counselor | 71 Sharkey Rd, Glendora, MS 38928-2531 | 2019-05-16 |
| 1003296237 | Janine Esparza | Counselor | 1505 Sunflower Ave, Glendora, CA 91740-5839 | 2015-06-03 |
| 1639585565 | Tammy Lee Sarabia | Counselor | 355 N Vista Bonita Ave, Glendora, CA 91741-2656 | 2014-07-11 |
| 1164682506 | Laura Ann Bleistein | Counselor | 615 N Vermont Ave, Glendora, CA 91741-2024 | 2008-06-10 |
| 1245655430 | Maria Lopez | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2014-02-24 |
| 1316249618 | Gina Maria Mastrangelo | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2010-11-19 |
| 1477886455 | Bryan James Strycula | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2009-09-09 |
| 1689814782 | Alex Lopez Jr. | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2009-03-02 |
| 1013188796 | Linda M Miles | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2008-03-20 |
| 1780874156 | Elisha Leyva | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2007-07-31 |
| Find all providers in GLENDORA | ||||
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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.