VALLEY WIDE RECREATION & PARK DISTRICT


Address: 901 W. Esplanade Ave., San Jacinto, CA 92582
Phone: 9516541505

VALLEY WIDE RECREATION & PARK DISTRICT (NPI# 1992890305) 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) 1992890305
Entity Type Organization
Organization Name VALLEY WIDE RECREATION & PARK DISTRICT
Other Organization Name VALLEY WIDE OUTREACH SERVICES
Practice Address 901 W. Esplanade Ave.
San Jacinto
CA 92582
Mailing Address P.o. Box 907
San Jacinto
CA 92581
Practice Telephone 9516541505
Practice Fax Number 9516549927
Mailing Telephone 9516541505
Mailing Fax Number 9516549927
Enumeration Date 2006-10-03
Last Update Date 2020-08-22
Authorized Official Name MR. SAM GOEPP (GENERAL MANAGER)
Authorized Official Telephone 9516541505
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
330046AN CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Valley Wide Outreach Services Doing Business As Name - Organization

Office Location

Street Address 901 W. ESPLANADE AVE.
City SAN JACINTO
State CA
Zip Code 92582

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568000339 Wenda Renee Wilson Doby Chore Provider 1903 Glow Pointe, San Jacinto, CA 92582 2019-12-12
1477823763 Sean Yu Pharmacist 2261 W. Esplanade Ave, San Jacinto, CA 92582 2012-01-04
1528345451 Charles K Ngethe Licensed Vocational Nurse 2883 Pansy Way, San Jacinto, CA 92582 2011-11-06
1801078290 George Kyriopoulos Chiropractor 711 W Eslplanade, Suite B, San Jacinto, CA 92582 2007-11-28
1275734915 Linda Christine Moya Counselor 950 Ramona Blvd, Ste 2, San Jacinto, CA 92582 2007-05-30
1174655906 Scott Alan Mcclung Marriage & Family Therapist 950 N Ramona Blv, #2, San Jacinto, CA 92582 2007-03-09
1225513898 Jane Waweru Licensed Vocational Nurse 2883 Pansy Way, San Jacinto, CA 92582 2018-09-30
1568943918 Charlene Cheng Counselor 14700 Manzanita Park Rd, Beaumont, CA 92582 2018-08-23
1659738813 Riverside County Department of Mental Health Community/Behavioral Health 950 Ramona Blvd, Suite 2, San Jacinto, CA 92582 2016-01-19
1679595904 Dees Hampton Medical Supplies Durable Medical Equipment & Medical Supplies 950 N Ramona Blvd, San Jacinto, CA 92582-2567 2006-07-24
Find all providers in zip 92582

Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366710881 Riverside Recovery Resources Substance Abuse Rehabilitation Facility 1119 W 7th St, San Jacinto, CA 92582-3856 2011-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689275620 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 80 W Nicasio, San Geronimo, CA 94963 2020-11-05
1013518042 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 1208 Via Aracena, Camarillo, CA 93010-7440 2020-11-05
1609477645 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 1850 Calle Alberca, Camarillo, CA 93010-1811 2020-11-05
1467053736 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 615 Bugeia Ln, Novato, CA 94945-1517 2020-11-04
1376144642 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 100 Avocado Pl, Camarillo, CA 93010-8467 2020-11-04
1285235556 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 7210 Johnston Rd, Pleasanton, CA 94588-9466 2020-11-04
1780282988 Muir Wood LLC Substance Abuse Rehabilitation Facility 2891 I Street Ext, Petaluma, CA 94952-9521 2020-10-12
1720692577 Muir Wood, LLC. Substance Abuse Rehabilitation Facility 1743 Skillman Lane, Petaluma, CA 94952-9495 2020-08-31
1598376816 Muir Wood LLC Substance Abuse Rehabilitation Facility 6868 Cold Springs Rd, Penngrove, CA 94951-9722 2020-08-11
1770194060 Monroe Operations, LLC Substance Abuse Rehabilitation Facility 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 2020-08-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAN JACINTO
Zip Code 92582

Improve Information

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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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