MARYVALE (NPI# 1952642415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952642415 |
| Entity Type | Organization |
| Organization Name | MARYVALE |
| Practice Address |
7600 E. Graves Ave Rosemead CA 91770-3414 |
| Practice Telephone | 6262806510 |
| Practice Fax Number | 6262881026 |
| Mailing Telephone | 6262806510 |
| Mailing Fax Number | 6262881026 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | MS. JAMIE MARIE RODRIGUEZ (LICENSED PSYCHIATRIC TECHNICIAN) |
| Authorized Official Telephone | 6262806510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
PT35715 | CA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831489681 | Maryvale | Community/Behavioral Health | 2502 E Huntington Dr, Duarte, CA 91010 | 2011-04-13 |
| 1083031058 | Maryvale | Psychiatric Residential Treatment Facility | 7600 Graves Ave, Rosemead, CA 91770-3414 | 2014-03-27 |
| 1346365772 | Maryvale | Residential Treatment Facility, Emotionally Disturbed Children | 7600 E Graves Ave, Rosemead, CA 91770-3414 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARYVALE ACQUISITION, L.P. | 166 Main Street, Williamsville, Ny 14221 |
| System for Award Management (SAM) Entities | MARYVALE APTS | 3461 Saint Marys Rd Apt 120, West Terre Haute, IN 47885-9683 |
| System for Award Management (SAM) Entities | MARYVALE DIALYSIS CENTER | 4845 W Mcdowell Rd Ste 10a, 20a, 30a, Phoenix, AZ 85035 |
| New York State Corporations | MARYVALE DRIVE PROPERTY LLC | 14 Corporate Woods Blvd, Albany, Ny 12211 |
| Washington State Corporations | MARYVALE FRONT FOOT BENEFIT LLC | 76 W North Camano Dr, Camano Island, WA 98282-8611 |
| New York State Corporations | MARYVALE LLC | 130 Main Street, Johnson City, Ny 13790 |
| New York State Corporations | MARYVALE MUSIC BOOSTERS, INC. | 11 Leni Lane, Cheektowaga, Ny 14225 |
| New York State Corporations | MARYVALE SCHOOLS PARENT TEACHER ORGANIZATION, INC. | Maryvale School Pto, 1050 Maryvale Drive, Chektowaga, New York 14225 |
| New York State Corporations | MARYVALE VILLAGE, LLC | 2101 St. Rita's Lane, Williamsville, Ny 14221 |
| Massachusetts Corporations | MARYVALE, LLC | 420 Bedford St., Lexington, MA 02173 |
| Street Address |
7600 E. GRAVES AVE |
| City | ROSEMEAD |
| State | CA |
| Zip Code | 91770-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447277157 | Araceli Lupercio | Marriage & Family Therapist | 7600 E. Graves Ave, Rosemead, CA 91770 | 2006-07-17 |
| 1962022947 | Morgan Love-warren | Social Worker | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2020-04-20 |
| 1871124305 | Adriana Navarrete | Case Manager/Care Coordinator | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2020-02-03 |
| 1598300501 | Hovanes Sungulyon | Licensed Vocational Nurse | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2019-11-13 |
| 1225694177 | Carolina Ramirez | Case Manager/Care Coordinator | 7600 E. Graves Ave, Rosemead, CA 91770-6807 | 2019-05-16 |
| 1770054967 | Katelynn A Hutchison | Marriage & Family Therapist | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2018-12-16 |
| 1700357431 | Shawn R Barnum | Licensed Vocational Nurse | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2018-12-06 |
| 1700355617 | Nicole H Kriz | Marriage & Family Therapist | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2018-11-20 |
| 1417426008 | Marissa Wollard | Social Worker | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2018-11-13 |
| 1285127191 | Martha Guzman | Case Manager/Care Coordinator | 7600 E. Graves Ave, Rosemead, CA 91770-3414 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310070 | Kangtai Clinic | Acupuncturist | 7940 Garvey Ave #205, Rosemead, CA 91770 | 2019-08-01 |
| 1285190421 | Patrick Mecenas | Occupational Therapist | 3832 Muscatel Ave, Rosemead, CA 91770 | 2019-02-12 |
| 1790265577 | Ke Xu | Student in an Organized Health Care Education/Training Program | 9353 Valley Blvd C Rosemend,asian Pacific Family Center, Los Angeles, CA 91770 | 2018-08-21 |
| 1629596259 | Daniel Tran | Occupational Therapist | 3243 Charlotte Ave, Rosemead, CA 91770 | 2017-09-04 |
| 1811425424 | Eric M. Erickson | Acupuncturist | 9105 E. Valley Blvd. Suite 101, Rosemead, CA 91770 | 2017-05-25 |
| 1598170045 | Gold Standard Health | Pharmacy | 3812 Brookline Ave, Rosemead, CA 91770 | 2014-06-24 |
| 1508286774 | Kim Tuyen Nguyen | Rehabilitation Practitioner | 9353 Valley Blvd # C, Rosemead, CA 91770 | 2014-04-25 |
| 1962828269 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2507 Evelyn Ave, Rosemead, CA 91770 | 2014-03-11 |
| 1871853267 | Healthy Green Acupuncture | Acupuncturist | 9127 E. Valley Blvd., Rosemead, CA 91770 | 2012-05-21 |
| 1104192574 | Gilbert Koay | Pharmacist | 8225 E Garvey Ave, Rosemead, CA 91770 | 2012-03-29 |
| Find all providers in zip 91770 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409356 | Ever Well Health Systems, LLC | Assisted Living Facility | 1201 W Swain Rd, Stockton, CA 95207-4228 | 2020-05-18 |
| 1952935538 | Integrated Family Enrichment Services | Assisted Living Facility | 11423 Citrus Glen Ln, Fontana, CA 92337-1040 | 2020-02-23 |
| 1174157721 | Oakview-eldorado Oaks, Inc | Assisted Living Facility | 1762 Dale Rd, Glendora, CA 91740-5431 | 2020-02-22 |
| 1952955841 | Green Merrylands Inc | Assisted Living Facility | 15986 Baltray Way, Fontana, CA 92336-4546 | 2019-07-29 |
| 1639722002 | Golden Living In Sylmar, Inc. | Assisted Living Facility | 14060 Astoria Street, Sylmar, CA 91342-2949 | 2019-07-24 |
| 1437701307 | Arlington Management LLC | Assisted Living Facility | 4609 Arlington Ave, Riverside, CA 92504-2705 | 2019-07-11 |
| 1215404769 | Arm Group Homes LLC. | Assisted Living Facility | 53 Newburn Ct, Beaumont, CA 92223-3131 | 2018-11-01 |
| 1679052849 | Laulelei Care Solutions LLC | Assisted Living Facility | 7551 Sweetfern Way, Sacramento, CA 95822-5726 | 2018-08-09 |
| 1922584903 | Diya Senior Care Corp | Assisted Living Facility | 366 Lassenpark Cir, San Jose, CA 95136-2159 | 2018-07-13 |
| 1992293732 | Recuperative and Supportive Services, LLC | Assisted Living Facility | 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 | 2018-04-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARYVALE.
| 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.