HAYNES FAMILY OF PROGRAMS (NPI# 1851642193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851642193 |
| Entity Type | Organization |
| Organization Name | HAYNES FAMILY OF PROGRAMS |
| Other Organization Name | LEROY HAYNES CENTER |
| Practice Address |
1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 |
| Practice Telephone | 9098332986 |
| Mailing Telephone | 9098332986 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DANIEL S. MAYDECK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9095932581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 000697 | CA | Agencies |
| N | 252Y00000X | Early Intervention Provider Agency | 000697 | CA | Agencies |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
000697 | CA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
000697 | CA | Ambulatory Health Care Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 191501972 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| LeRoy Haynes Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164548236 | Haynes Family of Programs | Behavioral Analyst | 1025 Sentinel Dr Ste 200 & 206, La Verne, CA 91750-3282 | 2007-03-21 |
| 1669905832 | Haynes Family of Programs | Community Based Residential Treatment Facility, Mental Illness | 233 West Baseline Road, La Verne, CA 91750-2353 | 2017-04-05 |
| Street Address |
1025 SENTINEL DR SUITES 200 & 206 |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790953479 | Rebecca T Moronez | Licensed Vocational Nurse | 1025 Sentinel Dr, La Verne, CA 91750-3280 | 2008-02-14 |
| 1720598212 | Maribel Duran | Counselor | 1025 Sentinel Dr, La Verne, CA 91750-3280 | 2017-10-10 |
| 1962875013 | Denise Stylianides | Marriage & Family Therapist | 1025 Sentinel Dr, Suite 200, La Verne, CA 91750-3280 | 2015-11-10 |
| 1487048070 | Douglas Ulysses George | Social Worker | 1025 Sentinel Dr, Suite 200, La Verne, CA 91750-3280 | 2015-03-23 |
| 1336582253 | Raleen Ann Dinger | Counselor | 1025 Sentinel Dr, La Verne, CA 91750-3280 | 2013-04-10 |
| 1083900690 | Chanel Renee Higgs | Marriage & Family Therapist | 1025 Sentinel Dr, La Verne, CA 91750 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669905832 | Haynes Family of Programs | Community Based Residential Treatment Facility, Mental Illness | 233 West Baseline Road, La Verne, CA 91750-2353 | 2017-04-05 |
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|---|---|---|---|---|
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| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 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.