BRIDGES TO RECOVERY IIII (NPI# 1093152076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093152076 |
| Entity Type | Organization |
| Organization Name | BRIDGES TO RECOVERY IIII |
| Practice Address |
10201 Charing Cross Rd Los Angeles CA 90024-1814 |
| Mailing Address |
Po Box 1493 Pacific Palisades CA 90272-1493 |
| Practice Telephone | 3104590613 |
| Practice Fax Number | 3105737092 |
| Mailing Telephone | 3104590613 |
| Mailing Fax Number | 3105737092 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |
| Authorized Official Name | MR. FREDERIK VILHELM SCHULIN (ADMINISTRATOR) |
| Authorized Official Telephone | 3104590613 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRIDGES TO RECOVER II, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHBS130185 | CA | Residential Treatment Facilities |
| Street Address |
10201 CHARING CROSS RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283984 | Aptus Pacem, LLC | Community Based Residential Treatment Facility, Mental Illness | 5035 E Echo St, Los Angeles, CA 90042-3915 | 2019-12-30 |
| 1023578705 | Mindful Growth Foundation | Community Based Residential Treatment Facility, Mental Illness | 1208 W 38th St, Los Angeles, CA 90037-1106 | 2019-03-20 |
| 1114491636 | Mindful Growth Foundation | Community Based Residential Treatment Facility, Mental Illness | 3924 W Adams Blvd, Los Angeles, CA 90018-1755 | 2019-01-17 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1184169815 | Exodus Recovery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3754-56 Overland Ave, Los Angeles, CA 90034-6312 | 2017-01-04 |
| 1205262748 | Reese's Board and Care Home | Community Based Residential Treatment Facility, Mental Illness | 11205 Monitor Ave, Los Angeles, CA 90059-1935 | 2013-09-16 |
| 1104199033 | Adrienne James | Community Based Residential Treatment Facility, Mental Illness | 3776 S Gramercy Pl, One Half, Los Angeles, CA 90018-4377 | 2012-02-23 |
| 1144593518 | Dmhlac Eob Pmrt Sa5 | Community Based Residential Treatment Facility, Mental Illness | 11303 W, Olympic Boulevard, Los Angeles, CA 90066 | 2012-02-16 |
| 1396014544 | Bridges To Recovery IIi | Community Based Residential Treatment Facility, Mental Illness | 777 Sarbonne Rd, Los Angeles, CA 90077-3320 | 2011-12-16 |
| 1912225855 | South Central Residential Care #2 | Community Based Residential Treatment Facility, Mental Illness | 1551 W 80th St, Los Angeles, CA 90047-2839 | 2010-05-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on BRIDGES TO RECOVERY IIII.
| 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.