RENEW INTEGRATED PROGRAM-2 INC. (NPI# 1033479993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033479993 |
| Entity Type | Organization |
| Organization Name | RENEW INTEGRATED PROGRAM-2 INC. |
| Practice Address |
14135 Fairgrove Ave La Puente CA 91746-1708 |
| Mailing Address |
4000 Long Beach Blvd 228 Long Beach CA 90807-2617 |
| Practice Telephone | 5624263300 |
| Practice Fax Number | 5626373244 |
| Mailing Telephone | 5624263300 |
| Mailing Fax Number | 5626373244 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | DR. LAJA I. IBRAHEEM (OWNER) |
| Authorized Official Telephone | 5624263300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A66124 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962843938 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 6103 Crenshaw Blvd, Los Angeles, CA 90043-3946 | 2013-07-08 |
| 1518304765 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 4205 E Alondra Blvd, Compton, CA 90221-4234 | 2013-05-29 |
| 1689015653 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 1100 W Manchester Ave, Los Angeles, CA 90044-3430 | 2013-07-08 |
| 1164869319 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 4324 W Jefferson Blvd, Los Angeles, CA 90016-4115 | 2013-05-29 |
| 1083974364 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 751 Vineland Ave, La Puente, CA 91746-1914 | 2012-05-21 |
| Street Address |
14135 FAIRGROVE AVE |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91746-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720385883 | Wings of Refuge, Inc. | Exclusive Provider Organization | 14135 Fairgrove Ave, La Puente, CA 91746-1708 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
| 1013428804 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13139 Don Julian Rd., La Puente, CA 91746 | 2017-10-19 |
| 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 |
| Find all providers in zip 91746 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245726132 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 549 S 3rd Ave, La Puente, CA 91746-2849 | 2018-07-03 |
| 1689931586 | Spiritt Family Services | Community/Behavioral Health | 147 S. 6th Avenue, La Puente, CA 91746-2914 | 2012-04-16 |
| 1245384296 | Enki Health Services, Inc. | Community/Behavioral Health | 160 S 7th Ave, La Puente, CA 91746-3211 | 2007-01-23 |
| 1922476530 | Baart | Community/Behavioral Health | 15229 Amar Rd, La Puente, CA 91744-2066 | 2015-09-14 |
| 1083974364 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 751 Vineland Ave, La Puente, CA 91746-1914 | 2012-05-21 |
| 1881725117 | Enki Health Services, Inc. | Community/Behavioral Health | 160 S 7th Ave, La Puente, CA 91746-3211 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| 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.