Organization · Type 2 NPI

Telecare Corporation

Mental Illness Community Based Residential Treatment Facility · Santa Maria, CA

NPI number 1205480563 Active

Practice location

116 Agnes Ave
Santa Maria, CA 93458-2838

Call (805) 457-3724 Map

Fax (805) 852-1863

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

28 other providers at this address

Other mental illness community based residential treatment facility providers in Santa Maria

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NPI record

NPI: 1205480563
Entity type: Organization (Type 2)
Issued: Jul 25, 2019
Last updated: Sep 8, 2026
Status: Active

Other names

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Telecare Agnes Avenue Crisis Residential · doing business as
Telecare Agnes Avenue Crisis Residential · doing business as

Authorized official

Lorena Lopez
Provider Relations Supervisor
(510) 292-7024

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205480563

Telecare Corporation's National Provider Identifier is 1205480563, issued on Jul 25, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Santa Maria, CA. The record was last updated on Sep 8, 2026.