Provider Demographics
NPI: | 1841586757 |
---|---|
Name: | TOTAL EDUCATION SOLUTIONS |
Entity Type: | Organization |
Organization Name: | TOTAL EDUCATION SOLUTIONS |
Other - Org Name: | TES THERAPY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MEAGHAN |
Authorized Official - Middle Name: | JANINE |
Authorized Official - Last Name: | DONAHUE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 323-404-1026 |
Mailing Address - Street 1: | 625 FAIR OAKS AVE |
Mailing Address - Street 2: | SUITE 300 |
Mailing Address - City: | SOUTH PASADENA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91030-5805 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 323-341-5580 |
Mailing Address - Fax: | 213-607-4352 |
Practice Address - Street 1: | 3320 DATA DR STE 400 |
Practice Address - Street 2: | |
Practice Address - City: | RANCHO CORDOVA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95670-7341 |
Practice Address - Country: | US |
Practice Address - Phone: | 916-564-5010 |
Practice Address - Fax: | 916-564-5260 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-06-20 |
Last Update Date: | 2021-12-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
163W00000X, 163WS0200X, 225100000X, 225X00000X, 225XE0001X, 225XF0002X, 225XN1300X, 225XP0200X, 225XR0403X, 2355S0801X, 252Y00000X | ||
CA | 235Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 163WS0200X | Nursing Service Providers | Registered Nurse | School | Group - Multi-Specialty |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Environmental Modification | Group - Multi-Specialty |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
No | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility | Group - Multi-Specialty |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |