7TH Avenue Center, LLC

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

7TH AVENUE CENTER, LLC

Practice address

1171 7TH Ave
Santa Cruz, CA 95062-2714

Phone

(831) 420-0120

Fax

(831) 420-0136

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ann M. Butler

Title

President

Phone

(831) 420-0120

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1629132089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621663",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622714",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "7TH AVENUE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-420-0120"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PRV NBR",
            "identifier": "44B7",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geraldine Bautista Abalos, RN
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• Mental Illness Intermediate Care Facility in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Mental Illness Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.