TELECARE AGNES AVENUE CRISIS RESIDENTIAL
NPI 1205480563
Community Based Residential Treatment Facility, Mental Illness in Santa Maria, CA

Q: What is Telecare Corporation's NPI number?

The NPI number for Telecare Corporation is 1205480563. It was assigned to this organization in the NPPES registry on July 25, 2019. The provider is doing business as Telecare Agnes Avenue Crisis Residential.

Q: What is Telecare Corporation's specialty?

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

Active since July 25, 2019

116 AGNES AVE, SANTA MARIA, CA 93458(805) 457-3724(805) 852-1863 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2019, Jul 25, 2019 (2 updates tracked since 2019).

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About Telecare Agnes Avenue Crisis Residential NPPES

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

TELECARE AGNES AVENUE CRISIS RESIDENTIAL (NPI 1205480563) is a healthcare organization registered as a community based residential treatment facility, mental illness in Santa Maria, California and active in the NPI registry since July 2019. The organization lists Leslie Davis, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205480563

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameTELECARE CORPORATION

Location Address116 AGNES AVESanta Maria, CA 93458-2838

Mailing Address1080 Marina Village Pkwy Ste 100Alameda, CA 94501-1078 · (510) 337-7950 · Fax (510) 337-7969

Phone(805) 457-3724

Fax(805) 852-1863

Organization SubpartNo

Authorized OfficialLeslie DavisSvp, Cfo · (510) 337-7950

Enumeration DateJuly 25, 2019

Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration

✔ NPI 1205480563 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.

116 AGNES AVE, Santa Maria, CA 93458

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Other Names 1

Doing Business AsTelecare Agnes Avenue Crisis Residential

Other Providers at the Same Location NPPES 19

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

CLAUDIA KINDELL-VANDERMOLEN

Counselor