SANTA MONICA NPI 1003010398

Community/Behavioral Health in Omaha, NE

NPI 1003010398 Organization Community/Behavioral Health

About SANTA MONICA

Santa Monica is a provider established in Omaha, Nebraska specializing in community/behavioral health. The NPI number of Santa Monica is 1003010398 and was assigned on June 2007. The practitioner's primary taxonomy code is 251S00000X with license number SATC052 (NE). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Mary Kay Davis Nsap,ladc (Executive Director)

NPI

1003010398

Provider NameSANTA MONICA
Provider Location Address130 N 39TH ST OMAHA, NE 68131
Provider Mailing Address130 N 39TH ST OMAHA, NE 68131
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-12-2007
Last Update Date07-14-2008


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.SATC052
License StateNE
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

SANTA MONICA
130 N 39TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 558-7088
Fax: (402) 558-7133

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Mailing Address

SANTA MONICA
130 N 39TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 558-7088
Fax: (402) 558-7133



Authorized Official

Authorized Official NameMS. MARY KAY DAVIS NSAP,LADC
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(402) 558-7088

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801223110 KENNY WADE RICHARDSON LADC
Individual
Counselor (Addiction (Substance Use Disorder))130 N 39TH ST
OMAHA, NE 68131
(402) 558-7088

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.