Casa de la Vida

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CASA DE LA VIDA

Practice address

421 Fairmount Ave
Oakland, CA 94611-5534

Phone

(510) 839-3769

NPI assigned

Nov 30, 2011

Organization subpart

Yes

Parent organization

BERKELEY PLACE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Shepard

Title

Program Coordinator

Phone

(510) 839-3769

Specialties & licenses 1

Addresses

Tax ID family

Berkeley Place Inc2 organizations share this tax ID, including this one

Part of

Berkeley Place Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Berkeley Place, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Oakland, CA
  • NPI 1548471881
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1043587488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FAIRMOUNT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FAIRMOUNT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115534",
            "telephone_number": "510-839-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE LA VIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKELEY PLACE, INC.",
        "enumeration_date": "2011-11-30",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "510-839-3769"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Morell Carver, RN,BSN
• Elizabeth Alice Cary, MSW
• Erin Anastasia Cary
• Casa Alma Mental Health a Psychological Corporation
• Casa Amparo
• Paul John Casale, D.D.S.
• Elise Casas Reyes
• Wendy Jasmine Casasola, LVN
• Cascading Tresses LLC
• Tracy Joan Cascio, LCSW

• Mental Illness Community Based Residential Treatment Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.