GRATITUDE LODGE LLC (NPI# 1033695754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033695754 |
| Entity Type | Organization |
| Organization Name | GRATITUDE LODGE LLC |
| Practice Address |
3849 Chatwin Ave Long Beach CA 90808-2004 |
| Practice Telephone | 5623596115 |
| Mailing Telephone | 5623596115 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | MR. MARK WILLIAMS (CEO) |
| Authorized Official Telephone | 7813302124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193678 | Gratitude Lodge LLC | Substance Abuse Rehabilitation Facility | 20182 Kline Dr, Newport Beach, CA 92660-1312 | 2020-01-17 |
| Street Address |
3849 CHATWIN AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427450808 | Hope's Landing | Substance Abuse Rehabilitation Facility | 3849 Chatwin Ave, Long Beach, CA 90808-2004 | 2014-09-17 |
| 1578007035 | Bpp Chatwin, LLC | Substance Abuse Rehabilitation Facility | 3849 Chatwin Ave, Long Beach, CA 90808-2004 | 2016-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369313 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 | 2018-06-08 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1730623299 | Bpp Lb Recovery, LLC | Substance Abuse Rehabilitation Facility | 1535 E 1st St, Long Beach, CA 90802-5931 | 2016-12-16 |
| 1629439898 | Tranquility Counseling Services | Substance Abuse Rehabilitation Facility | 720 W 4th St Unit 404, Long Beach, CA 90802-2100 | 2016-03-15 |
| 1053784264 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3113 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1033582242 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3115 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1932572146 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3119 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1104299312 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3131 E 7th St, Long Beach, CA 90804-4935 | 2015-11-10 |
| 1811360027 | Safe Refuge | Substance Abuse Rehabilitation Facility | 719 Obispo Ave, Long Beach, CA 90804-5028 | 2015-11-10 |
| 1386017598 | Safe Refuge | Substance Abuse Rehabilitation Facility | 727 Obispo Ave, Long Beach, CA 90804-5027 | 2015-11-10 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
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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.