Organization Active NPI

Creative Alternative for Learning & Living, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Atascadero, CA
National Provider Identifier
1194335430
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.
Practice address
11700 Viejo Camino
Atascadero, CA 93422-6023
Phone
(805) 466-0766
Fax
(805) 466-8614
NPI assigned
Aug 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Authorized official

Name
Susan Dunn
Title
Board of Directors President
Phone
(805) 423-4818

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Physical Disabilities Residential Treatment Facility 320700000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

11700 Viejo Camino
Atascadero, CA 93422-6023

Mailing address

11700 Viejo Camino
Atascadero, CA 93422-6023
Phone (805) 466-0766

Other identifiers 6

IdentifierTypeStateIssuer
405800333OtherCAFACILITY #
405800568OtherCAFACILITY #
405800061OtherCAFACILITY #
405800130OtherCAFACILITY #
405801701OtherCAFACILITY #
405802280OtherCAFACILITY #

Other names 6

  • C.A.L.L.-CARMELITA HOUSE Other name
  • C.A.L.L.-D.T.A.C Other name
  • C.A.L.L.-PALOMAR HOUSE Other name
  • C.A.L.L.-RAMONA HOUSE Other name
  • C.A.L.L.-SAN ANTONIO HOUSE Other name
  • C.A.L.L.-VALDEZ HOUSE Other name

National Provider Directory

National Provider Directory

Locations

11700 Viejo Camino
Atascadero, CA 93422
Phone (805) 466-0766

NPI Registry JSON

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596326400000",
    "number": "1194335430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 VIEJO CAMINO",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226023",
            "telephone_number": "805-466-0766",
            "fax_number": "805-466-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 VIEJO CAMINO",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226023",
            "telephone_number": "805-466-0766",
            "fax_number": "805-466-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS PRESIDENT",
        "authorized_official_telephone_number": "805-423-4818"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY #",
            "identifier": "405800333",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY #",
            "identifier": "405800568",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY #",
            "identifier": "405800061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY #",
            "identifier": "405800130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY #",
            "identifier": "405801701",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY #",
            "identifier": "405802280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.A.L.L.-CARMELITA HOUSE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C.A.L.L.-D.T.A.C",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C.A.L.L.-PALOMAR HOUSE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C.A.L.L.-RAMONA HOUSE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C.A.L.L.-SAN ANTONIO HOUSE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C.A.L.L.-VALDEZ HOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.