DHHS IHS CAO DESERT SAGE YOUTH WELLNESS CENTER


Address: 39990 Faure Rd, Hemet, CA 92544-9408
Phone: 9169303981

DHHS IHS CAO DESERT SAGE YOUTH WELLNESS CENTER (NPI# 1780057521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780057521
Entity Type Organization
Organization Name DHHS IHS CAO DESERT SAGE YOUTH WELLNESS CENTER
Other Organization Name DESERT SAGE YOUTH WELLNESS CENTER
Practice Address 39990 Faure Rd
Hemet
CA 92544-9408
Mailing Address 650 Capitol Mall Rm 7100
Sacramento
CA 95814-4706
Practice Telephone 9169303981
Mailing Telephone 9169303981
Enumeration Date 2015-11-02
Last Update Date 2020-05-19
Authorized Official Name BEVERLY MILLER (CALIFORNIA AREA DIRECTOR)
Authorized Official Telephone 9169303981
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Desert Sage Youth Wellness Center Doing Business As Name - Organization

Office Location

Street Address 39990 FAURE RD
City HEMET
State CA
Zip Code 92544-9408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679635221 Angela Kay Williams Psychiatry & Neurology 39990 Faure Rd, Hemet, CA 92544 2006-12-13
1740814797 Earl Dale Fain Counselor 39990 Faure Rd, Hemet, CA 92544-9408 2020-02-28
1992335442 Kufreabasi Idiong Social Worker 39990 Faure Rd, Hemet, CA 92544-9408 2020-01-23
1164060539 Adele Marie Yuth Counselor 39990 Faure Rd, Hemet, CA 92544-9408 2019-12-17
1821487497 Pamela Enjema Mokoko Nurse Practitioner 39990 Faure Rd, Hemet, CA 92544-9408 2015-01-20
1710309984 Anna Knight Nurse Practitioner 39990 Faure Rd, Hemet, CA 92544-9408 2014-01-07
1942622113 Pascale Brown Social Worker 39990 Faure Rd, Hemet, CA 92544-9408 2014-01-07
1255778981 Angela C Mcclendon Social Worker 39990 Faure Rd, Hemet, CA 92544-9408 2013-06-04
1174808042 Adeline Aranaydo Menendez Counselor 39990 Faure Rd, Hemet, CA 92544-9408 2011-10-11
1538496948 Emily Lavern Streeter Psychologist 39990 Faure Rd, Hemet, CA 92544-9408 2009-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881164408 Felix Pelarada Olarita Jr. Physical Therapist 41255 Crest Drive, Hemet, CA 92544 2018-11-27
1124453055 Apex Healthcare Medical Center Inc Internal Medicine 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 2013-09-11
1134476062 Renee Luhrs Macdonald Counselor 3990 Faure Rd, Hemet, CA 92544 2012-08-09
1427223916 Mark Dwayne Dykes Military Health Care Provider 700 Colorado Dr, Hemet, CA 92544 2008-04-25
1487825691 Jody A Balboa Marriage & Family Therapist 541 N. San Jacinto Ave, Hemet, CA 92544 2008-03-14
1528246964 Newport Audiology Centers Hearing Aid Equipment 1600 East Florida Ave #312, Hemet, CA 92544 2008-02-07
1730212036 Welch's Shoe Repair Prosthetic/Orthotic Supplier 41819 E Florida Ave, Hemet, CA 92544 2007-03-14
1548238702 Devonshire Care Center, LLC Skilled Nursing Facility 1350 E Devonshire Ave, Hemet, CA 92544 2006-03-14
1669755153 Amir Rahnavard Internal Medicine 1600 E Florida Ave Ste 103, Hemet, CA 92544 2011-09-21
1053401802 Marianne Tahl Allergy & Immunology 2390 E Florida Ave, Suite #101, Hemet, CA 92544 2006-10-13
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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932523610 Riverside Recovery Resources Substance Abuse Rehabilitation Facility 40329 Stetson Ave, Hemet, CA 92544-7358 2014-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275620 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 80 W Nicasio, San Geronimo, CA 94963 2020-11-05
1013518042 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 1208 Via Aracena, Camarillo, CA 93010-7440 2020-11-05
1609477645 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 1850 Calle Alberca, Camarillo, CA 93010-1811 2020-11-05
1467053736 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 615 Bugeia Ln, Novato, CA 94945-1517 2020-11-04
1376144642 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 100 Avocado Pl, Camarillo, CA 93010-8467 2020-11-04
1285235556 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 7210 Johnston Rd, Pleasanton, CA 94588-9466 2020-11-04
1780282988 Muir Wood LLC Substance Abuse Rehabilitation Facility 2891 I Street Ext, Petaluma, CA 94952-9521 2020-10-12
1720692577 Muir Wood, LLC. Substance Abuse Rehabilitation Facility 1743 Skillman Lane, Petaluma, CA 94952-9495 2020-08-31
1598376816 Muir Wood LLC Substance Abuse Rehabilitation Facility 6868 Cold Springs Rd, Penngrove, CA 94951-9722 2020-08-11
1770194060 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 2020-08-11
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Competitor

Search similar providers

City HEMET
Zip Code 92544

Improve Information

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Dataset Information

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.

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