Stanislaus PHF

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

VN220172 Issued in CA

Legal business name

STANISLAUS PHF

Doing business as

Telecare Corporation

Practice address

436 N Mercey Springs Rd SPC 13
Los Banos, CA 93635-3031

Phone

(209) 568-2266

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Miss Rachel Lenaura Williams, LVN

Title

LVN

Phone

(209) 568-2266

Specialties & licenses 1

Addresses

Other names 1

• Telecare Corporation Doing business as

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1508246430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N MERCEY SPRINGS RD SPC 13",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353031",
            "telephone_number": "209-568-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N MERCEY SPRINGS RD SPC 13",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353031",
            "telephone_number": "209-568-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS PHF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LENAURA",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "209-568-2266",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "VN220172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telecare Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jung Song-Lee, M.D
• Ariana Sotelo-Ramirez
• Jami Nevaeh Sotelo
• Sport & Rehab Physical Therapy Incorporated
• Venkat Ramana Srinivasan, MD
• Jennifer L. Stark, M. A.
• Ashlyn Statham
• Cheryl Anne Stejskal, LCSW
• Stephen J. Georgiou MD, a Professional Corporation
• Brenda Denise Stewart-Walker, MSC/MFT

• Psychiatric Residential Treatment Facility in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.