TELECARE CORPORATION NPI 1205480563

NPI Information

NPI: 1205480563
Provider Name: TELECARE CORPORATION

Doing Business As: TELECARE AGNES AVENUE CRISIS RESIDENTIAL

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
116 AGNES AVE
SANTA MARIA, CA
ZIP 93458
Phone: (805) 457-3724
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TELECARE CORPORATION is a community based residential treatment facility mental illness in Santa Maria, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. TELECARE CORPORATION NPI is 1205480563. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Agnes Avenue Crisis Residential.

The provider's business location address is:

116 AGNES AVE
SANTA MARIA, CA
ZIP 93458-838
Phone: (805) 457-3724
Fax: (805) 852-1863

The provider's authorized official is Leslie Davis .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The enumeration date for this NPI number is 7/25/2019 and was last updated on 9/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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