Provider Demographics
NPI:1154469252
Name:CAMINAR
Entity Type:Organization
Organization Name:CAMINAR
Other - Org Name:CAMINAR - HAWTHORNE HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GIANUARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-393-8937
Mailing Address - Street 1:411 BOREL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3525
Mailing Address - Country:US
Mailing Address - Phone:650-372-4080
Mailing Address - Fax:650-393-8922
Practice Address - Street 1:251 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-1630
Practice Address - Country:US
Practice Address - Phone:650-368-2383
Practice Address - Fax:650-368-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4156OtherPROVIDER ID