ENCOMPASS COMMUNITY SERVICES (NPI# 1902126485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902126485 |
| Entity Type | Organization |
| Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Other Organization Name | CASA PACIFIC |
| Practice Address |
321 E Beach St Watsonville CA 95076-4801 |
| Mailing Address |
542 Ocean St Ste K Santa Cruz CA 95060-6622 |
| Practice Telephone | 8312263909 |
| Practice Fax Number | 8314530665 |
| Mailing Telephone | 8314590444 |
| Mailing Fax Number | 8314590665 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MONICA MARTINEZ (CEO) |
| Authorized Official Telephone | 8314691700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 445202230 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DSS - COMMUNITY CARE LICENSING | 445202230 | 01 |
| Other Name | Type Code |
|---|---|
| Casa Pacific | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1972930097 | Encompass Community Services | Community/Behavioral Health | 530 Ocean St Ste B, Santa Cruz, CA 95060-6628 | 2013-10-03 |
| 1114225448 | Encompass Community Services | Community/Behavioral Health | 165 Harkins Slough Rd, Watsonville, CA 95076-4124 | 2011-03-10 |
| 1811175201 | Encompass Community Services | Clinic/Center | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2008-02-07 |
| 1538385562 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 125 Rigg St, Santa Cruz, CA 95060-4203 | 2007-04-18 |
| 1891911830 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 161 Miles Ln, Watsonville, CA 95076-3127 | 2007-04-18 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1760608707 | Encompass Community Services | Community/Behavioral Health | 585 Auto Center Dr Ste B, Watsonville, CA 95076-3764 | 2007-04-18 |
| 1447474853 | Encompass Community Services | Clinic/Center | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-04-13 |
| 1174746408 | Encompass Community Services | Community Based Residential Treatment Facility, Mental Illness | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ENCOMPASS COMMUNITY SERVICES | 380 Encinal St Ste 2000, Santa Cruz, CA 95060-2178 |
| Street Address |
321 E BEACH ST |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447473723 | David Paul Macbryde | Counselor | 321 E Beach St, Watsonville, CA 95076-4801 | 2007-04-11 |
| 1356797518 | Katelyn Byrne | Counselor | 321 E Beach St, Watsonville, CA 95076-4801 | 2016-05-06 |
| 1447610811 | Catharine Naughton | Counselor | 321 E Beach St, Watsonville, CA 95076-4801 | 2016-02-29 |
| 1891907812 | Karen Jean Grijalva | Psychologist | 321 E Beach St, Watsonville, CA 95076-4801 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1376770776 | Front St. Inc. | Community Based Residential Treatment Facility, Mental Illness | 102 Wheelock Rd, Watsonville, CA 95076-9719 | 2009-06-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on ENCOMPASS COMMUNITY SERVICES.
| 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.