CHILDREN'S RECOVERY CENTER, I LLC


Address: 3777 S. Bascom Ave, Campbell, CA 95008
Phone: 4085583640

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Children's Recovery Center Doing Business As Name - Organization

Office Location

Street Address 3777 S. BASCOM AVE
City CAMPBELL
State CA
Zip Code 95008

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 282NC2000X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Children

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CAMPBELL
Zip Code 95008

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Dataset Information

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.

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