SAFE REFUGE (NPI# 1053784264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053784264 |
| Entity Type | Organization |
| Organization Name | SAFE REFUGE |
| Other Organization Name | SUBSTANCE ABUSE FOUNDATION OF LONG BEACH |
| Practice Address |
3113 E 7th St Long Beach CA 90804-4932 |
| Mailing Address |
1041 Redondo Ave Long Beach CA 90804-3928 |
| Practice Telephone | 5629875722 |
| Practice Fax Number | 5629874586 |
| Mailing Telephone | 5629875722 |
| Mailing Fax Number | 5629874586 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | KATHYRN ROMO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5629875722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 190077AHN | CA | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190077CN | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 1989 | 01 |
| Other Name | Type Code |
|---|---|
| Substance Abuse Foundation of Long Beach | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053784249 | Safe Refuge | Clinic/Center | 3111 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 |
| 1376916585 | Safe Refuge | Substance Abuse Rehabilitation Facility | 729 Obispo Ave, Long Beach, CA 90804-5027 | 2015-11-10 |
| 1275906489 | Safe Refuge | Substance Abuse Rehabilitation Facility | 718 Freeman Ave, Long Beach, CA 90804-4908 | 2015-11-10 |
| 1629441837 | Safe Refuge | Substance Abuse Rehabilitation Facility | 728 Freeman Ave, Long Beach, CA 90804-4908 | 2015-11-10 |
| 1538532742 | Safe Refuge | Substance Abuse Rehabilitation Facility | 728a Freeman Ave, Long Beach, CA 90804-4908 | 2015-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SAFE REFUGE CENTER INC. | 903 S Main, Kokomo, IN 46901 |
| Street Address |
3113 E 7TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383270 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 5861 Cherry Ave, Long Beach, CA 90805-4405 | 2018-04-10 |
| 1053784249 | Safe Refuge | Clinic/Center | 3111 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1225411796 | Safe Refuge | Clinic/Center | 3139 E 7th St, Long Beach, CA 90804-4932 | 2015-07-02 |
| 1518340082 | Safe Refuge | Clinic/Center | 3137-39 E 7th St, Long Beach, CA 90804-4932 | 2015-07-02 |
| 1962828491 | Safe Refuge | Clinic/Center | 1046 Redondo Ave, Long Beach, CA 90804-3927 | 2014-03-07 |
| 1447494380 | Serene Center, Inc. | Clinic/Center | 1215 E 4th St, Ste 102, Long Beach, CA 90802-7518 | 2009-04-22 |
| 1881855435 | Choices of Long Beach, Inc. | Clinic/Center | 2139 E 7th St, Long Beach, CA 90804-4503 | 2008-06-17 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| 1962621664 | Safe Refuge | Clinic/Center | 3125 East 7th Street, Long Beach, CA 90804-4932 | 2007-04-24 |
| 1265677975 | Circle of Help Foundation | Clinic/Center | 555 E Pacific Coast Hwy, Suite 105, Long Beach, CA 90806-5576 | 2008-12-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on SAFE REFUGE.
| 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.