IMMACULATE CARE CENTER,INC (NPI# 1922387935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922387935 |
| Entity Type | Organization |
| Organization Name | IMMACULATE CARE CENTER,INC |
| Practice Address |
3576 Arlington Ave Suite 203 Riverside CA 92506-3943 |
| Practice Telephone | 9512545506 |
| Mailing Telephone | 9512545506 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | DORYCE M AGUIRRE (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 9512545506 |
| Authorized Official Credential | RAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265728901 | Immaculate Care Center,inc | Community/Behavioral Health | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553-3069 | 2011-06-21 |
| Street Address |
3576 ARLINGTON AVE SUITE 203 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568570018 | Jack Lawrence Johnson | Marriage & Family Therapist | 3576 Arlington Ave, Suite 307, Riverside, CA 92506-3943 | 2006-08-25 |
| 1518503853 | Luticia Cabe | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2019-11-21 |
| 1760979322 | Yeseira Munoz-vitela | Rehabilitation Practitioner | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2018-04-19 |
| 1760933915 | Sarah Howard | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2016-10-21 |
| 1508219296 | Magali Regalado | Counselor | 3576 Arlington Ave, Suite 102/104, Riverside, CA 92506-3943 | 2016-07-18 |
| 1225492770 | Michael Berber | Counselor | 3576 Arlington Ave, Ste 102, Riverside, CA 92506-3943 | 2016-04-11 |
| 1902206410 | Paola Andrea Hernandez | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2014-09-03 |
| 1417386202 | David Reneau | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2013-11-02 |
| 1811339385 | Phoenix Medical Group, Inc. | Acupuncturist | 3576 Arlington Ave, Suite 100, Riverside, CA 92506-3943 | 2013-07-24 |
| 1518210632 | Desmond Kenneth Meraz | Counselor | 3576 Arlington Ave, Suite 102, Riverside, CA 92506-3943 | 2012-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1568098242 | Youth Enterprise, Inc. | Community/Behavioral Health | 8308 Yarrow Ln, Riverside, CA 92508-2923 | 2020-03-13 |
| 1659928752 | Social Resources Connection Inc | Community/Behavioral Health | 5005 La Mart Dr Ste 100b3, Riverside, CA 92507-8902 | 2019-08-22 |
| 1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
| 1710466487 | Hayley Victoria De La Torre | Community/Behavioral Health | 7622 Saint Andrews Dr, Riverside, CA 92508-6099 | 2018-08-13 |
| 1982197547 | Citrus Crest Family Counseling Inc. | Community/Behavioral Health | 16801 Van Buren Blvd Ste 214, Riverside, CA 92504-5893 | 2018-06-08 |
| 1316440464 | Coryne Poole | Community/Behavioral Health | 4555 Pine St Apt 2b, Riverside, CA 92501-4034 | 2018-03-15 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1255849675 | County of Riverisde | Community/Behavioral Health | 1820 University Avenue, Riverside, CA 92507-5355 | 2018-01-19 |
| 1740797067 | Riza Loreine Peralta Callejas | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-01-09 |
| Find all providers in RIVERSIDE | ||||
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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.