ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA


Address: 5800 Calpine Dr, San Jose, CA 95123-3705
Phone: 4088462100

ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA (NPI# 1851752125) 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) 1851752125
Entity Type Organization
Organization Name ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA
Other Organization Name REBEKAH CHILDREN'S SERVICES
Practice Address 5800 Calpine Dr
San Jose
CA 95123-3705
Mailing Address 290 Ioof Ave
Gilroy
CA 95020-5204
Practice Telephone 4088462100
Mailing Telephone 4088462100
Enumeration Date 2016-03-15
Last Update Date 2016-04-04
Authorized Official Name CHRISTOPHE REBBOAH (CEO)
Authorized Official Telephone 4088462106
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Rebekah Children's Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871942870 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 895 Barrett Ave, Morgan Hill, CA 95037-5206 2016-06-09
1972951978 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 6200 Encinal Dr, San Jose, CA 95119-1514 2016-05-31
1740644855 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 385 Ioof Ave, Gilroy, CA 95020-5205 2016-04-06
1487015756 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 330 Bluefield Dr, San Jose, CA 95136-2100 2016-03-15
1942670740 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 600 W 8th St, Gilroy, CA 95020-6449 2015-10-06
1285043018 Odd-fellow Rebekah Children's Home of Ca Case Management 591 N King Rd, Suite #3, San Jose, CA 95133-1661 2014-08-06
1023433380 Odd-fellow Rebekah Children's Home of Ca Case Management 1260 South Main Street, Suite 101, Salinas, CA 93901 2014-02-24
1831548718 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 750 W 10th St, Gilroy, CA 95020-6333 2016-06-10
1134578131 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 930 3rd St, Gilroy, CA 95020-4915 2016-06-09
1487018594 Odd-fellow Rebekah Children's Home of Ca Community/Behavioral Health 850 Day Rd, Gilroy, CA 95020-9324 2016-04-06

Office Location

Street Address 5800 CALPINE DR
City SAN JOSE
State CA
Zip Code 95123-3705

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NPI Name Taxonomy Address Enumeration
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1437672953 Mie Mie Chiu Dietitian, Registered 276 Palm Valley Blvd #205, San Jose, CA 95123 2017-07-18
1902335300 Alfredo Fernandez Counselor 5898 Paddon Circle, San Jose, CA 95123 2017-06-08
1780115444 Christopher Vi Tran Case Manager/Care Coordinator 5579 Lean Avenue, San Jose, CA 95123 2017-03-24
1205370004 Linxi Wu Acupuncturist 6064 Cahalan Ave, San Jose, CA 95123 2016-12-13
1013307651 Kevin Dizon Dental Hygienist 6071 Sunstone Drive, San Jose, CA 95123 2015-02-04
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447718838 Alum Rock Counseling Center Community/Behavioral Health 234 E Gish Rd Ste 200, San Jose, CA 95112-4724 2019-03-05
1184189722 Uplift Family Services Community/Behavioral Health 653 Sylvandale Ave, San Jose, CA 95111-1414 2019-02-07
1386126621 Alum Rock Counseling Center Community/Behavioral Health 14281 Story Road, San Jose, CA 95127 2018-09-04
1194218149 Catholic Charities of Santa Clara County Community/Behavioral Health 2150 Alum Rock Ave, San Jose, CA 95116-2054 2018-06-13
1306336102 Unity Care Group, Inc. Community/Behavioral Health 469 Delridge Dr, San Jose, CA 95111-1703 2018-05-16
1295230969 Caminar Community/Behavioral Health 2202 N 1st St Ste 2210, San Jose, CA 95131-2007 2018-03-26
1487175485 Arise Services Community/Behavioral Health 1009 E Capitol Expy # 407, San Jose, CA 95121-2415 2017-06-29
1811438765 Family and Children Services A Division of Caminar Community/Behavioral Health 109 E Gish Rd, San Jose, CA 95112-4702 2017-03-12
1073052734 County of Santa Clara Community/Behavioral Health 4825 Speak Ln, San Jose, CA 95118-3769 2017-02-14
1164965034 Alum Rock Counseling Center, Inc. Community/Behavioral Health 1944 Flint Ave, San Jose, CA 95148-1213 2016-11-28
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Competitor

Search similar providers

City SAN JOSE
Zip Code 95123

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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