FT. KNOX SUPPORTIVE HOUSING FOR HOMELESS VETERANS (NPI# 1780204537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780204537 |
| Entity Type | Organization |
| Organization Name | FT. KNOX SUPPORTIVE HOUSING FOR HOMELESS VETERANS |
| Practice Address |
288 W Terrace St Altadena CA 91001-4706 |
| Mailing Address |
321 N Pass Ave # 105 Burbank CA 91505-3859 |
| Practice Telephone | 3233861387 |
| Mailing Telephone | 3233861387 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | LATONDA KNOX (CEO/CASE MANAGER) |
| Authorized Official Telephone | 3233861387 |
| Authorized Official Credential | RN , ADMIN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
288 W TERRACE ST |
| City | ALTADENA |
| State | CA |
| Zip Code | 91001-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455302 | Pax House Inc. | Clinic/Center | 2052 Lake Ave Ste F, Altadena, CA 91001 | 2018-04-26 |
| 1629592506 | Alfredo Manuel Mercado Jr. | Rehabilitation Practitioner | Tobinworld Mental Health, 920 E Boradway Street, Glendale, CA 91001 | 2017-08-01 |
| 1477000909 | Christopher Harris Jr. | Case Manager/Care Coordinator | 856 Figueroa Dr, Altadena, CA 91001 | 2016-09-01 |
| 1669825535 | Ridgeview Drive Ranch, LLC | Substance Abuse Rehabilitation Facility | 3323 Marengo Ave, Altadena, CA 91001 | 2016-07-15 |
| 1962864363 | Laura Peterson | Internal Medicine | 2225 Midwick Dr, Altadena, CA 91001 | 2016-03-24 |
| 1750741484 | Greta Francine Johnson | Psychiatry & Neurology | 800 S. Barranca, Covina, CA 91001 | 2016-02-23 |
| 1205211463 | Oscar Morales Aguirre | Licensed Vocational Nurse | 2145 North Marengo Ave, Altadena, CA 91001 | 2015-07-29 |
| 1811308703 | Growing Pains Individual, Family, and Couples Theraputic Services | Community/Behavioral Health | 29b Altadena Drive, Altadena, CA 91001 | 2014-05-13 |
| 1851727325 | Jennifer Sue-rurng Chen | Student in an Organized Health Care Education/Training Program | 2046 North Allen Avenue, Altadena, CA 91001 | 2013-09-17 |
| 1124366406 | Ridgeview Drive Ranch, LLC | Clinic/Center | 741 W Woodbury Rd, Altadena, CA 91001 | 2013-01-22 |
| Find all providers in zip 91001 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908709 | Saxena Family LLC | Respite Care | 3486 Monroe Ave, Lafayette, CA 94549-4521 | 2020-10-05 |
| 1891320685 | Ultracare Services LLC | Respite Care | 1630 Centinela Ave # 204, Inglewood, CA 90302-1041 | 2020-03-11 |
| 1578114674 | Home Personal Aide Referral Registry LLC | Respite Care | 12189 7th St Ste 108, Yucaipa, CA 92399-2233 | 2019-09-20 |
| 1194371674 | All.walks.thru.life LLC | Respite Care | 1737 E G St # Sr39, Ontario, CA 91764-4474 | 2019-08-12 |
| 1497313175 | Christian Care Concept, LLC | Respite Care | 575 S Jefferson St, Dixon, CA 95620-3827 | 2019-05-29 |
| 1316503451 | American Focus Care California | Respite Care | 1338 Center Court Dr Ste 203, Covina, CA 91724-3681 | 2019-05-14 |
| 1174187397 | Tanya Denise King | Respite Care | 1081 E Grand Ave, Pomona, CA 91766-3726 | 2019-04-23 |
| 1225590342 | Care From Heart | Respite Care | 4 Union Sq Ste A, Union City, CA 94587-3523 | 2019-04-05 |
| 1538625975 | Purposeful Residential Care, LLC | Respite Care | 1308 Erie St, Bakersfield, CA 93307-3974 | 2019-02-11 |
| 1093282931 | Kmk Care Enterprises, Inc. | Respite Care | 6832 Salvaterra Cir, Elk Grove, CA 95757-3486 | 2018-10-29 |
| 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.