NPIMap

Organization Active NPI

Front St Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Capitola, CA
National Provider Identifier
1730306382
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FRONT ST INC
Practice address
4795 Opal Cliff Dr
Capitola, CA 95062-5229
Phone
(831) 420-0120
Fax
(831) 420-0136
NPI assigned
Apr 18, 2007
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FRONT ST INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Ann M. Butler
Title
Ceo and Owner
Phone
(831) 420-0120

Specialties & licenses 1

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

Addresses

Primary practice location

4795 Opal Cliff Dr
Capitola, CA 95062-5229

Mailing address

2115 7TH Ave
Santa Cruz, CA 95062-1663
Phone (831) 420-0120

Other identifiers 1

IdentifierTypeStateIssuer
4476OtherCAMEDI-CAL PRV NBR

Other names 1

  • Opal Cliff Residential Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Front St Inc12 organizations share this tax ID, including this one
Part of
Front St Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4795 Opal Cliff Dr
Santa Cruz, CA 95062
Phone (831) 464-2641

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1730306382",
    "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": "4795 OPAL CLIFF DR",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950625229",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT ST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT ST INC",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "831-420-0120"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PRV NBR",
            "identifier": "4476",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opal Cliff Residential Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Opal Cliff Residential Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.