INTERFAITH COMMUNITY SERVICES (NPI# 1932767381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932767381 |
| Entity Type | Organization |
| Organization Name | INTERFAITH COMMUNITY SERVICES |
| Practice Address |
250 N Ash St Escondido CA 92027-3026 |
| Mailing Address |
1820 S Escondido Blvd Ste 100 Escondido CA 92025-6535 |
| Practice Telephone | 7605468870 |
| Mailing Telephone | 7605468870 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | MR. ROBERT L CHURCH (PROGRAM MANAGER) |
| Authorized Official Telephone | 7605468870 |
| Authorized Official Credential | CADC |
| 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 |
|---|---|---|---|---|
| 1265074611 | Interfaith Community Services | Community/Behavioral Health | 550 W Washington Ave, Escondido, CA 92025-1643 | 2019-10-16 |
| 1962987941 | Interfaith Community Services | Case Management | 250 N Ash St, Escondido, CA 92027-3026 | 2018-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERFAITH COMMUNITY SERVICES | 550 W Washington Ave Ste B, Escondido, CA 92025-1643 |
| Street Address |
250 N ASH ST |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667969 | Interfaith Community Services, Inc | Respite Care | 250 N Ash St, Escondido, CA 92027-3026 | 2018-01-31 |
| 1821644246 | Gary Lee Crite Jr. | Counselor | 250 N Ash St, Escondido, CA 92027-3026 | 2019-08-12 |
| 1962987941 | Interfaith Community Services | Case Management | 250 N Ash St, Escondido, CA 92027-3026 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1245895176 | Karina D Ibarra | Community/Behavioral Health | 1050 Rock Springs Rd Unit 219, Escondido, CA 92026-2438 | 2019-05-06 |
| 1831620871 | Mental Health Systems, Inc. | Community/Behavioral Health | 410 Hidden Trails Rd, Escondido, CA 92027-5333 | 2017-03-22 |
| 1588936074 | Key To Behavior, LLC | Community/Behavioral Health | 3144 Beven Dr, Escondido, CA 92027-6229 | 2012-01-31 |
| 1891906400 | St. Clare's Home | Community/Behavioral Health | 2091 E Valley Pkwy, Escondido, CA 92027-2743 | 2007-05-25 |
| 1174666010 | Mental Health Systems, Inc. | Community/Behavioral Health | 474 W Vermont Ave Ste 103, Escondido, CA 92025-6584 | 2007-02-14 |
| 1265074611 | Interfaith Community Services | Community/Behavioral Health | 550 W Washington Ave, Escondido, CA 92025-1643 | 2019-10-16 |
| 1235600545 | Exodus Recovery, Inc. | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2018-12-12 |
| 1811472954 | Sunshine Counseling LLC | Community/Behavioral Health | 810 E Grand Ave, Escondido, CA 92025-3402 | 2018-09-25 |
| 1659895340 | Community Research Foundation Inc | Community/Behavioral Health | 337 W Mission Ave, Escondido, CA 92025-1729 | 2017-08-03 |
| 1205370806 | Avid Aba Services | Community/Behavioral Health | 562 W Grand Ave, Escondido, CA 92025-2502 | 2016-12-15 |
| Find all providers in ESCONDIDO | ||||
Please comment or provide details below to improve the information on INTERFAITH 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.