EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1861638652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861638652 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
| Practice Address |
131 Sears St San Francisco CA 94112-4029 |
| Practice Telephone | 9494004573 |
| Mailing Telephone | 9494004573 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | MR. JACOB CAYDEN DILLON (RESIDENTIAL COUNSELOR) |
| Authorized Official Telephone | 9494004573 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131548 | Edgewood Center for Children and Families | Counselor | 1112 Ingerson Ave, San Francisco, CA 94124-3514 | 2016-05-11 |
| 1093920647 | Edgewood Center for Children and Families | Community/Behavioral Health | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2007-05-14 |
| 1003269994 | Edgewood Center for Children and Families | Community/Behavioral Health | 604 Price Ave, Suite A and B, Redwood City, CA 94063 | 2016-07-15 |
| 1518310523 | Edgewood Center for Children and Families | Community/Behavioral Health | 931 San Bruno Ave W, San Bruno, CA 94066 | 2016-07-14 |
| 1013389725 | Edgewood Center for Children and Families | Community/Behavioral Health | 170 S Spruce Ave, Suite 250, South San Francisco, CA 94080 | 2015-10-21 |
| 1255744298 | Edgewood Center for Children and Families | Community/Behavioral Health | 3801 3rd St, Suite 610/620, San Francisco, CA 94124-1446 | 2014-06-06 |
| 1386782340 | Edgewood Center for Children and Families | Voluntary or Charitable | 1801 Vicente St, San Francisco, CA 94116-2923 | 2007-02-02 |
| 1578627840 | Edgewood Center for Children and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-12-21 |
| 1811072796 | Edgewood Center for Children and Families | Clinic/Center | 1801 Vicente St, San Francisco, CA 94116-2923 | 2006-10-26 |
| 1275637274 | Edgewood Center for Children and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, Bldgs. A, D, H, L, M, P, S, W, San Francisco, CA 94116 | 2006-09-11 |
| Street Address |
131 SEARS ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94112-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
| 1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
| 1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
| 1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
| Find all providers in zip 94112 | ||||
| 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 |
|---|---|---|---|---|
| 1497902647 | Aurora Concepcion | Community Based Residential Treatment Facility, Mental Illness | 1821 Silliman St., San Francisco, CA 94134 | 2008-08-19 |
| 1699944678 | Delarch Inc | Community Based Residential Treatment Facility, Mental Illness | 935 Buena Vista West, San Francisco, CA 94117 | 2008-02-25 |
| 1003084724 | Linas Care Home Elderly Home #2 | Community Based Residential Treatment Facility, Mental Illness | 84 Norton Street, San Francisco, CA 94112 | 2008-02-15 |
| 1164600508 | Alice Feng Zhang | Community Based Residential Treatment Facility, Mental Illness | 1434 7th Ave, San Francisco, CA 94122-3703 | 2008-02-07 |
| 1093993651 | Linas Care Home Elderly Home #1 | Community Based Residential Treatment Facility, Mental Illness | 393 Silver Ave, San Francisco, CA 94112 | 2008-02-06 |
| 1073791620 | Tiffany Rch Inc | Community Based Residential Treatment Facility, Mental Illness | 50 Tiffany Ave, San Francisco, CA 94110 | 2008-02-06 |
| 1174701734 | Lady of Perpetual Help Rfe | Community Based Residential Treatment Facility, Mental Illness | 476 Fair Oaks St, San Francisco, CA 94110 | 2008-02-06 |
| 1821273046 | Collins Care Home | Community Based Residential Treatment Facility, Mental Illness | 1348 Baker Street, San Francisco, CA 94115 | 2008-01-07 |
| 1063695617 | Exclusive Board and Care Inc | Community Based Residential Treatment Facility, Mental Illness | 1856 Mcallister St, San Francisco, CA 94115 | 2007-12-06 |
| 1144402082 | Katie Florence Herring | Community Based Residential Treatment Facility, Mental Illness | 272 Lee Avenue, San Francisco, CA 94112 | 2007-12-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94112 |
Please comment or provide details below to improve the information on EDGEWOOD CENTER FOR CHILDREN AND FAMILIES.
| 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.