NPIMap

Organization Active NPI

Encompass Community Services

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Cruz, CA
National Provider Identifier
1174746408
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
440707898 Issued in CA
Legal business name
ENCOMPASS COMMUNITY SERVICES
Practice address
3035 Prather LN
Santa Cruz, CA 95065-1801
Phone
(831) 226-3930
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization
ENCOMPASS COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Ms. Monica Martinez
Title
Ceo
Phone
(831) 469-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 440707898 CA Primary

Addresses

Primary practice location

3035 Prather LN
Santa Cruz, CA 95065-1801

Mailing address

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone (831) 469-1700

Other identifiers 1

IdentifierTypeStateIssuer
440707898OtherCADSS- COM. CARE LICENSING

Other names 1

  • Telos Other name

National Provider Directory

National Provider Directory
Tax ID family
Families Together41 organizations share this tax ID, including this one
Part of
Families Together

Other organizations with this tax ID 40

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

View all 40

Locations

3035 Prather Ln
Santa Cruz, CA 95065
Phone (831) 226-3930

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1174746408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ENCINAL ST STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602178",
            "telephone_number": "831-469-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 PRATHER LN",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651801",
            "telephone_number": "831-226-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS COMMUNITY SERVICES",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-469-1700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "440707898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS- COM. CARE LICENSING",
            "identifier": "440707898",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telos",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Telos",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.