W.P.R. LLC (NPI# 1760965081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760965081 |
| Entity Type | Organization |
| Organization Name | W.P.R. LLC |
| Practice Address |
2733 Country Club Blvd Apt 87 Stockton CA 95204-3975 |
| Mailing Address |
9919 Marquand Dr Burke VA 22015-3808 |
| Practice Telephone | 2092768892 |
| Mailing Telephone | 2062019454 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2020-09-26 |
| Authorized Official Name | ANDREW JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 2092768892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | W & A Bradford Enterprises LLC | 2866 E Fox St, Mesa, AZ 85213 |
| Iowa Business Entities | W & A PROPERTIES, LLC | 3764 Racine Ave, Dayton, IA 50530 |
| Indiana Business Entities | W & A STRIPES LAWNCARE LLC | 17432 Kirkland Dr, Bristol, IN 46507 |
| New York State Corporations | W & B PHOTOGRAPHY LLC | 1390 Columbia Avenue, Suite 313, Lancaster, Pa 17603 |
| Oklahoma Business Registrations | W & B PROPERTIES, LLC | 4709 Pinon Court, Norman, OK 73072 |
| New York State Corporations | W & B PROSPERITY REALTY LLC | 248-37 Thornhill Avenue, Douglaston, Ny 11362 |
| Colorado Business Entities | W & C Enterprises, LLC | 225 S Grand Ave, Rangely, CO 81648 |
| Colorado Business Entities | W & C Properties, LLC | 225 S Grand Ave, Rangely, CO 81648 |
| New York State Corporations | W & C PROPERTY HOLDINGS LLC | 2 Jennell Drive, East Greenbush, New York 12061 |
| New York State Corporations | W & C THOMPSON FAMILY PROPERTY, LLC | 499 Flanders Hill Road, Windsor, Ny 13865 |
| Street Address |
2733 COUNTRY CLUB BLVD APT 87 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1467950345 | Parents By Choice | Community/Behavioral Health | 306 E Main St Ste 300-312, Stockton, CA 95202-2908 | 2018-01-25 |
| 1033648084 | O'connor Woods Housing Corp | Community/Behavioral Health | 3400 Wagner Heights Rd, Stockton, CA 95209-4843 | 2017-06-05 |
| 1851824882 | Elizabeth Thompson | Community/Behavioral Health | 149 W Stadium Dr, Stockton, CA 95204-3117 | 2017-04-06 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1740731736 | Ger Vang | Community/Behavioral Health | 822 Prospector Dr, Stockton, CA 95210-1442 | 2016-10-14 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1255708855 | Buphant Society | Community/Behavioral Health | 1045 N. Eldorado, 11, Stockton, CA 95202 | 2015-08-31 |
| 1710364823 | Central Valley Center for Community Advocacy, Inc. | Community/Behavioral Health | 20 N. Sutter St., Suite 400, Stockton, CA 95202-2911 | 2015-04-28 |
| Find all providers in STOCKTON | ||||
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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.