CHILDREN'S RECOVERY CENTER, I LLC (NPI# 1942335914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942335914 |
Entity Type | Organization |
Organization Name | CHILDREN'S RECOVERY CENTER, I LLC |
Other Organization Name | CHILDREN'S RECOVERY CENTER |
Practice Address |
3777 S. Bascom Ave Campbell CA 95008 |
Mailing Address |
3777 S. Bascom Avenue Campbell CA 95008 |
Practice Telephone | 4085583640 |
Practice Fax Number | 4083771139 |
Mailing Telephone | 4083583640 |
Mailing Fax Number | 4083771139 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2017-03-09 |
Authorized Official Name | MR. KENNETH SHAWN MCGUIRE (PRESIDENT/CEO) |
Authorized Official Telephone | 4083401568 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
Hospitals | ||
Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
070000320 | CA | Hospitals |
Other Name | Type Code |
---|---|
Children's Recovery Center | Doing Business As Name - Organization |
Street Address |
3777 S. BASCOM AVE |
City | CAMPBELL |
State | CA |
Zip Code | 95008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
Find all providers in zip 95008 |
Taxonomy Code | 282NC2000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Children |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114006830 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S. Bascom Ave., Campbell, CA 95008 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174061279 | Promoj,inc | General Acute Care Hospital | 1254 W 8th St Apt 2, San Pedro, CA 90731-2944 | 2017-02-09 |
1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
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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.