TELECARE SHELTON NEXT STEPS
NPI 1134737737
Community Based Residential Treatment Facility, Mental Illness in Shelton, WA
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 50D2173522
- CLIA Cert. Type: Other - EMERGENCY AND TRAUMA
- CLIA Exp. Date: 04-04-2028
About TELECARE SHELTON NEXT STEPS
This page provides the complete NPI Profile along with additional information for Telecare Shelton Next Steps, a provider established in Shelton, Washington operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1134737737 assigned on July 2020. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Telecare Shelton Next Steps. The authorized official of this NPI record is Leslie Davis (Svp, Cfo)
- NPI
- 1134737737 Verify this NPI
- Provider Legal Name
- TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC
- Other Organization Name
- TELECARE SHELTON NEXT STEPS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 307 W COTA ST SHELTON, WA 98584
- Location Phone
- (360) 205-8010
- Mailing Address
- 1080 MARINA VILLAGE PKWY STE 100 ALAMEDA, CA 94501
- Mailing Phone
- (510) 337-7950
- Mailing Fax
- (510) 337-7969
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-20-2020
- Last Update Date
- 12-14-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2173522
- Facility Type
- Other - EMERGENCY AND TRAUMA
- Certificate Effective Date
- October 15, 2019
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ANN STYRVOKY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Telecare Shelton Next Steps to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SHELTON, WA 98584
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134737737, enumerated as an "organization" on July 20, 2020.
The provider is located at 307 W COTA ST SHELTON, WA 98584 and the phone number is (360) 205-8010.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
