Casa De La Vida
Casa De La Vida is a healthcare organization registered as Mental Illness Community Based Residential Treatment Facility in Oakland, CA, holding Type 2 (organization) NPI 1043587488 since 2011. The authorized official on file is Teresa Shepard, Program Coordinator.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1043587488 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Casa De La Vida |
| Parent organization | Berkeley Place, Inc. |
| Practice address | 421 FAIRMOUNT AVE, Oakland, CA, 94611 |
| Phone | 5108393769 |
| Enumeration date | 2011-11-30 |
| Last updated in NPPES | 2019-06-18 |
Authorized official
| Name | Teresa Shepard |
|---|---|
| Title | Program Coordinator |
| Phone | 5108393769 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Casa De La Vida NPI: 1043587488 Taxonomy: 320800000X (Mental Illness Community Based Residential Treatment Facility) Address: 421 FAIRMOUNT AVE, Oakland, CA, 94611
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548471881 | Berkeley Place, Inc. | Organization | Mental Illness Community Based Residential Treatment Facility | Oakland, CA |
| 1013118355 | Berkeley Place | Organization | Counselor | Oakland, CA |
| 1336340686 | Tobia Minckler | Individual | Marriage & Family Therapist | Oakland, CA |
| 1932301256 | Hendrik Van Antwerpen | Individual | Marriage & Family Therapist | Oakland, CA |
| 1619179413 | La Tonya Moore | Individual | Mental Health Counselor | Oakland, CA |
| 1235392465 | Shawna O'Neill | Individual | Mental Health Counselor | Oakland, CA |
| 1003183898 | Julianna Dragos | Individual | Counselor | Oakland, CA |
| 1376817007 | Jennifer Kim | Individual | Mental Health Counselor | Oakland, CA |
Verify this record
Cross-check NPI 1043587488 against the authoritative CMS record: view Casa De La Vida on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Casa De La Vida located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-06-18.