MRS. SHETERAH BURNETT-WRENN (NPI# 1891182002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891182002 |
| Entity Type | Individual |
| Full Name | MRS. SHETERAH BURNETT-WRENN |
| Credential | LVN |
| Practice Address |
3686 Pacific Ave Riverside CA 92509-1948 |
| Practice Telephone | 9518012913 |
| Mailing Telephone | 9518012913 |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 279099 | CA | Residential Treatment Facilities |
| Street Address |
3686 PACIFIC AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619142684 | Amy L Tresky | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-04-29 |
| 1639789035 | Pacific Manor Recovery LLC | Substance Abuse Rehabilitation Facility | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2020-07-31 |
| 1801027651 | Destinee Antillon | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2009-07-28 |
| 1992967962 | Evangeline Russell | Licensed Vocational Nurse | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-06-30 |
| 1558521740 | Mary Windham | Licensed Vocational Nurse | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-06-11 |
| 1821265026 | Marilyn Covington | Licensed Psychiatric Technician | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-15 |
| 1972770394 | Tjhomas M Davis | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-14 |
| 1609043728 | Alicia Garcia | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
| 1760659874 | Jacqueline Duarte | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
| 1205003225 | Pamela Miller | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| 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 |
|---|---|---|---|---|
| 1518310739 | Trina Sanford | Community Based Residential Treatment Facility, Mental Illness | 9490 Los Coches Ct, Riverside, CA 92508-6814 | 2016-07-22 |
| 1023327541 | Health View | Community Based Residential Treatment Facility, Mental Illness | 5880 Fair Isle Dr Apt 166, Riverside, CA 92507-8458 | 2010-10-01 |
| 1174144844 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 3933 Harrison St, Riverside, CA 92503-3523 | 2020-05-04 |
| 1801341482 | Mfi Recovery Center | Community Based Residential Treatment Facility, Mental Illness | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2016-08-24 |
| 1588781066 | Riverside Mental Health | Community Based Residential Treatment Facility, Mental Illness | 10000 County Farm Rd, Riverside, CA 92503-3508 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 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 |
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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.