Active NPI
Creative Alternative for Learning & Living, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Atascadero, CA
National Provider Identifier
1194335430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405800333 | Other | CA | FACILITY # |
| 405800568 | Other | CA | FACILITY # |
| 405800061 | Other | CA | FACILITY # |
| 405800130 | Other | CA | FACILITY # |
| 405801701 | Other | CA | FACILITY # |
| 405802280 | Other | CA | FACILITY # |
Other names 6
- C.A.L.L.-CARMELITA HOUSE
- C.A.L.L.-D.T.A.C
- C.A.L.L.-PALOMAR HOUSE
- C.A.L.L.-RAMONA HOUSE
- C.A.L.L.-SAN ANTONIO HOUSE
- C.A.L.L.-VALDEZ HOUSE
National Provider Directory
National Provider DirectoryLocations
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.