Diamond Lodge
Community Based Residential Treatment Facility, Mental Illness

Address: 20 Arlington St, Sf, CA 94131
Phone: 4152850688

Diamond Lodge (NPI# 1215119375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215119375
Entity Type Organization
Organization Name DIAMOND LODGE
Practice Address 20 Arlington St
Sf
CA 94131
Practice Telephone 4152850688
Mailing Address 1135 Tournament Drive
Sf
CA 94131
Mailing Telephone 4152850688
Mailing Fax Number 4155506492
Authorized Official Name Annie Mayo Jacob (OWNER ADMINISTRATOR)
Authorized Official Telephone 4155771004
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2007-11-30
Last Update Date 2007-11-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1497356075 A Better Life Recovery LLC Community Based Residential Treatment Facility, Mental Illness 405 N Tremont St, Oceanside, CA 92054-2535 2020-11-02
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1730780313 Orchid Court, Inc. Community Based Residential Treatment Facility, Mental Illness 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 2020-11-02
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Office Location

Street Address 20 ARLINGTON ST
City SF
State CA
Zip Code 94131

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851930689 Lynda Mcpherson Massage Therapist 30 Monterey Blvd., San Francisco, CA 94131 2019-12-26
1538695473 Kylie E Rowe Physical Therapist 94 Sussex St, San Francisco, CA 94131 2017-05-11
1609269471 Kristen Lauters Behavior Analyst 36 A Monterey Blvd, San Francisco, CA 94131 2015-03-18
1780076448 Michael Smith Pediatrics Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 2015-03-04
1205254919 Sean Kleiman Behavior Analyst 1 Crestline Dr., Unit 1, San Francisco, CA 94131 2014-03-31
1508137167 Aaron Nystedt Behavior Analyst 36 Monterey Blvd, Suite A, San Francisco, CA 94131 2012-01-13
1841578127 Amy Lynn Litvin Registered Nurse 225 30th St - On Lok Lifeways, 2nd Floor, San Francisco, CA 94131 2011-08-03
1104111020 Margarite Leah Morch Marriage & Family Therapist 18 Whitney Street, San Francisco, CA 94131 2011-06-20
1063744845 Integrated Pain Care Preferred Provider Organization 2 Mercato Court, San Francisco, CA 94131 2010-02-04
1760715031 Natalie Dominiques Rodrigues Massage Therapist 605 Chenery St., Suite C., San Francisco, CA 94131 2009-09-17
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Competitor

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City SF
Zip Code 94131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.