SPECIAL SERVICE FOR GROUPS, INC. (NPI# 1013428804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013428804 |
| Entity Type | Organization |
| Organization Name | SPECIAL SERVICE FOR GROUPS, INC. |
| Other Organization Name | CRISIS RESIDENTIAL TREATMENT PROGRAM |
| Practice Address |
13139 Don Julian Rd. La Puente CA 91746 |
| Mailing Address |
905 E 8th St Los Angeles CA 90021-1848 |
| Practice Telephone | 2135531875 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | CHRISTINE Y TAT (DIRECTOR) |
| Authorized Official Telephone | 2132522100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIAL SERVICE FOR GROUPS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Crisis Residential Treatment Program | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2178 Firestone Blvd, Los Angeles, CA 90002 | 2135531875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487552 | Special Service for Groups, Inc. | Community/Behavioral Health | 3010 E Victoria St, Compton, CA 90221-5617 | 2020-08-13 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1669503793 | Special Service for Groups, Inc. | Clinic/Center | 600 St Paul Ave Ste 101, Los Angeles, CA 90017-5660 | 2007-03-08 |
| 1952442949 | Special Service for Groups, Inc. | Voluntary or Charitable | 905 E 8th St, Los Angeles, CA 90021-1848 | 2007-02-11 |
| 1831753615 | Special Service for Groups, Inc. | Clinic/Center | 4601 S Broadway, Los Angeles, CA 90037-2729 | 2019-04-26 |
| 1508331042 | Special Service for Groups, Inc. | Community/Behavioral Health | 12900 Garden Grove Blvd Ste B225, Garden Grove, CA 92843-2040 | 2018-10-11 |
| 1013404524 | Special Service for Groups, Inc. | Community/Behavioral Health | 3055 Wilshire Blvd Ste 300, Los Angeles, CA 90010-1147 | 2018-04-19 |
| 1093217614 | Special Service for Groups, Inc. | Clinic/Center | 13800 Heacock St Ste D111, Moreno Valley, CA 92553-3340 | 2018-02-28 |
| 1831642115 | Special Service for Groups, Inc. | Specialist | 425 Divisadero St, Suite 300, San Francisco, CA 94117-2242 | 2016-08-03 |
| 1982735932 | Special Service for Groups, Inc. | Clinic/Center | 5849 Crocker St, Los Angeles, CA 90003 | 2007-03-08 |
| Street Address |
13139 DON JULIAN RD. |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
| 1982733689 | Fenghua Fu D.d.s., A Professional Corporation | Dentist | 13704 Amar Rd, La Puente, CA 91746 | 2007-03-06 |
| 1306989942 | Kira Kristine Au | Specialist/Technologist | 14301 Fairgrove Ave, La Puente, CA 91746 | 2007-02-14 |
| 1609978055 | Los Angeles Dental Office | Dentist | 13704 E Anar Rd, La Puente, CA 91746 | 2006-09-05 |
| 1639140346 | Professional Nurses Group, Inc. | Homemaker | 13181 Crossroads Pkwy N Ste 322, City of Industry, CA 91746 | 2006-01-30 |
| 1952888331 | Joshua Rios | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2018-07-27 |
| 1447709175 | Evelyn Chavez | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2016-09-22 |
| 1295102861 | Leticia Miramontes Pelayo I | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2015-08-30 |
| 1619369196 | Samantha Valle | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2015-02-20 |
| 1083801682 | Terry Ann Taylor | Social Worker | 1101 Baldwin Park Blvd, Baldwin Park, CA 91746 | 2007-09-27 |
| Find all providers in zip 91746 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| 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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| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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| 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.