NPIMap

Organization Active NPI

Telecare Corporation

Doing business as Telecare Agnes Avenue Crisis Residential

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Maria, CA
National Provider Identifier
1205480563
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TELECARE CORPORATION
Doing business as
Telecare Agnes Avenue Crisis Residential
Practice address
116 Agnes Ave
Santa Maria, CA 93458-2838
Phone
(805) 457-3724
Fax
(805) 852-1863
NPI assigned
Jul 25, 2019
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Lorena Lopez
Title
Provider Relations Supervisor
Phone
(510) 292-7024

Specialties & licenses 1

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

Addresses

Primary practice location

116 Agnes Ave
Santa Maria, CA 93458-2838

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078
Phone (510) 337-7950

Other names 1

  • TELECARE AGNES AVENUE CRISIS RESIDENTIAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Telecare Corporation Gladman Mental Health Rehabilitation Center162 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

116 Agnes Ave
Santa Maria, CA 93458
Phone (805) 212-7680

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1205480563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "510-337-7950",
            "fax_number": "510-337-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 AGNES AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582838",
            "telephone_number": "805-457-3724",
            "fax_number": "805-852-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "510-292-7024"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TELECARE AGNES AVENUE CRISIS RESIDENTIAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TELECARE AGNES AVENUE CRISIS RESIDENTIAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.