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).
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 |
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 Name | Type Code |
---|---|
Valley Wide Outreach Services | Doing Business As Name - Organization |
Street Address |
901 W. ESPLANADE AVE. |
City | SAN JACINTO |
State | CA |
Zip Code | 92582 |
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 Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
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] |
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 |
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 |
City | SAN JACINTO |
Zip Code | 92582 |
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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.