BEHAVIORAL HEALTH SERVICES INC. (NPI# 1134259088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134259088 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES INC. |
| Other Organization Name | REDGATE MEMORIAL RECOVERY CENTER |
| Practice Address |
1775 Chestnut Ave Long Beach CA 90813-1674 |
| Mailing Address |
15519 Crenshaw Blvd Gardena CA 90249-4525 |
| Practice Telephone | 5625998444 |
| Practice Fax Number | 5625916134 |
| Mailing Telephone | 3106799126 |
| Mailing Fax Number | 3106792920 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TERI CANNON (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3106799126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190007LN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ALCOHOL AND DRUG LICENSE | 190007LN | 01 |
| Other Name | Type Code |
|---|---|
| Redgate Memorial Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536992 | Behavioral Health Services Inc. | Clinic/Center | 1334 N Avalon Blvd, Wilmington, CA 90744-2639 | 2017-08-31 |
| 1932230505 | Behavioral Health Services Inc. | Community/Behavioral Health | 2180 West Valley Blvd, Pomona, CA 91768-3325 | 2007-03-08 |
| 1891825667 | Behavioral Health Services Inc. | Community/Behavioral Health | 1318 N Avalon Blvd, Suite 1318a & 1314b, Wilmington, CA 90744-2639 | 2007-03-07 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1548659105 | Behavioral Health Services Inc. | Clinic/Center | 2501 W El Segundo Blvd, Suite B, Hawthorne, CA 90250-3317 | 2015-01-20 |
| 1245360130 | Behavioral Health Services Inc. | Substance Abuse Rehabilitation Facility | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES INC | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 |
| North Carolina Corporations | BEHAVIORAL HEALTH SERVICES INC | 3100 Memorial Dr, Greenville, NC 27834 |
| Street Address |
1775 CHESTNUT AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083752125 | Chantell Cuaron | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813 | 2007-02-01 |
| 1144821935 | Edgar Isidoro | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-11-06 |
| 1881291292 | Nataliya Polyanchykova | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-10-08 |
| 1982225348 | Destiny Deja Pitts | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-04-27 |
| 1235764630 | Conrad Bonilla | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-03-05 |
| 1689207953 | Benjamin Josiah Dosch | Social Worker | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-02-14 |
| 1831729169 | Karen Lynn Baugh | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-01-26 |
| 1144869645 | Cynthia Yvette Ross | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-31 |
| 1164061800 | Tana Queen | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-28 |
| 1871130963 | Carolina Martinez | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| 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 | 90813 |
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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.