PEACOCK ACRES, INC (NPI# 1922617067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922617067 |
| Entity Type | Organization |
| Organization Name | PEACOCK ACRES, INC |
| Practice Address |
20104 Belma Ct Salinas CA 93907-8406 |
| Practice Telephone | 8317543635 |
| Mailing Telephone | 8317543635 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | ERNEST HOWARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8317543635 |
| 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 |
| Other Name | Type Code |
|---|---|
| PA 2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114123965 | Peacock Acres, Inc | Community Based Residential Treatment Facility, Mental Illness | 251 Old Stage Rd, Salinas, CA 93908-9760 | 2007-06-26 |
| 1497369979 | Peacock Acres, Inc | Psychiatric Residential Treatment Facility | 251 Old Stage Rd, Salinas, CA 93908-9760 | 2020-09-02 |
| Street Address |
20104 BELMA CT |
| City | SALINAS |
| State | CA |
| Zip Code | 93907-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144721119 | Sarah Jean Radel | Psychologist | 610 Baldwin Street, Salinas, CA 93907 | 2018-02-26 |
| 1598284697 | Kelly A Barker | Counselor | 300 Casentini St., Salinas, CA 93907 | 2017-09-11 |
| 1851817092 | Elina Pena | Counselor | 200 Casentini St., Salinas, CA 93907 | 2017-08-18 |
| 1114397791 | Antonietta Tabije Soria | Dentist | 1004 N. Davis Rd., Salinas, CA 93907 | 2015-09-25 |
| 1508175803 | Wal-mart Stores Inc | Technician/Technologist | 1375 N. Davis Rd, Salinas, CA 93907 | 2010-10-04 |
| 1356548846 | Michael Nease Physical Therapy, Inc | Physical Therapist | 17815 Countryside Ct, Salinas, CA 93907 | 2007-06-28 |
| 1063625762 | Bradford D Case Dc A Chiropractic Corp | Chiropractor | 17811 Countryside Ct, Prunedale, CA 93907 | 2007-05-08 |
| 1851401459 | Costco Wholesale Corporation | Pharmacy | 1339 N Davis Rd, Salinas, CA 93907 | 2006-08-30 |
| 1609819663 | Robert Irwin Kurtz | Psychiatry & Neurology | 11 Quail Run Cir Ste 202, Salinas, CA 93907 | 2006-06-14 |
| 1992273528 | Jeanette Lemus | Behavioral Analyst | 4 Rossi Cir, Salinas, CA 93907 | 2018-11-13 |
| Find all providers in zip 93907 | ||||
| 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 |
|---|---|---|---|---|
| 1154561405 | Andrew E Salaz | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St Ste A, Salinas, CA 93901-2408 | 2009-02-26 |
| 1598921579 | Door To Hope | Community Based Residential Treatment Facility, Mental Illness | 1929 Oxford Ct, Salinas, CA 93906-2184 | 2008-07-30 |
| 1740445816 | Unity Care Group, Inc. | Community Based Residential Treatment Facility, Mental Illness | 680 Harrison Rd, Salinas, CA 93907-1660 | 2008-07-28 |
| 1114123965 | Peacock Acres, Inc | Community Based Residential Treatment Facility, Mental Illness | 251 Old Stage Rd, Salinas, CA 93908-9760 | 2007-06-26 |
| 1932324381 | Interim, Incorporated | Community Based Residential Treatment Facility, Mental Illness | 200 Casentini St, Salinas, CA 93907-2299 | 2007-04-13 |
| 1780034884 | Josefina Lara Chavez | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St, Salinas, CA 93901-2408 | 2016-06-20 |
| 1013254747 | Peacock Acres | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St, Ste A, Salinas, CA 93901-2408 | 2013-01-15 |
| 1831483833 | Peacock Acres Inc. | Community Based Residential Treatment Facility, Mental Illness | 838 S Main St, Ste A, Salinas, CA 93901-2408 | 2011-06-07 |
| 1518132455 | Unity Care Group, Inc. | Community Based Residential Treatment Facility, Mental Illness | 684 Harrison Rd, Salinas, CA 93907-1660 | 2008-04-22 |
| 1770795452 | Nancy Gonzalez | Community Based Residential Treatment Facility, Mental Illness | 638 Argentine Dr, Salinas, CA 93905-3052 | 2007-05-04 |
| Find all providers in SALINAS | ||||
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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.