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CASA DE LA VIDA
NPI 1043587488
Community Based Residential Treatment Facility, Mental Illness in Oakland, CA

Active since November 30, 2011
421 FAIRMOUNT AVE, OAKLAND, CA 94611(510) 839-3769 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casa De La Vida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASA DE LA VIDA (NPI 1043587488) is a healthcare organization registered as a community based residential treatment facility, mental illness in Oakland, California and active in the NPI registry since November 2011. The organization lists Teresa Shepard, Program Coordinator, as its authorized official.

NPPES Registry Identity

NPI1043587488
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCASA DE LA VIDA
Location Address421 FAIRMOUNT AVEOakland, CA 94611-5534
Mailing Address421 Fairmount AveOakland, CA 94611-5534
Phone(510) 839-3769
Organization SubpartYesParent: Berkeley Place, Inc.
Authorized OfficialTeresa ShepardProgram Coordinator · (510) 839-3769
Enumeration DateNovember 30, 2011
Last NPPES UpdateJune 18, 2019
✔ NPI 1043587488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
421 FAIRMOUNT AVE, Oakland, CA 94611
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JULIANNA KRISTINA DRAGOS M.A.
Counselor
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
BERKELEY PLACE
Counselor
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
CRYSTAL RENEE MOORE
Marriage & Family Therapist
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
SHAWNA O'NEILL MA
Counselor (Mental Health)
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
RUBY ESTHER GOLDBERG MHRS
Counselor (Mental Health)
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
MS. TOBIA JEANETTE MINCKLER MS
Marriage & Family Therapist
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
JENNIFER KIM
Counselor (Mental Health)
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769
HASINA MAE CRUMP
Counselor (Mental Health)
421 FAIRMOUNT AVE
OAKLAND, CA 94611
Alameda County (510) 839-3769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casa De La Vida's NPI number?

The NPI number for Casa De La Vida is 1043587488. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Casa De La Vida located?

Casa De La Vida is located at 421 Fairmount Ave, Oakland, CA 94611. The listed phone number is (510) 839-3769.

What is Casa De La Vida's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Casa De La Vida was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.