BEHAVIORAL HEALTH SERVICES INC. (NPI# 1245360130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245360130 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES INC. |
| Other Organization Name | PACIFICA HOUSE |
| Practice Address |
2501 W El Segundo Blvd Hawthorne CA 90250-3317 |
| Mailing Address |
15519 Crenshaw Blvd Gardena CA 90249-4525 |
| Practice Telephone | 3237542816 |
| Practice Fax Number | 3237542828 |
| 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 | 190007GN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG AND ALCOHOL LICENSE | 190007GN | 01 |
| Other Name | Type Code |
|---|---|
| Pacifica House | 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 |
| 1134259088 | Behavioral Health Services Inc. | Substance Abuse Rehabilitation Facility | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 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 |
| Street Address |
2501 W EL SEGUNDO BLVD |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801988118 | Nima Robert Zahedi | Social Worker | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2006-09-28 |
| 1760091466 | Candalaria Rodriguez | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2020-07-28 |
| 1760025902 | Dennis Lee Lyons Sr. | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-10-21 |
| 1962052290 | Mallory Ann Myers | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-09-18 |
| 1669034146 | Victoria Ansell | Nurse's Aide | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-07-03 |
| 1750944468 | Ebony M Maxie | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-04-18 |
| 1922567353 | Nydia C Garcia | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-03-15 |
| 1558844845 | Theresa Louise Brooks | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2018-09-12 |
| 1275028037 | Christina Saenz | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2018-06-25 |
| 1336633874 | Tashemia Marshall | Licensed Vocational Nurse | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1215387667 | Angel Wings Recovery of South Bay | Substance Abuse Rehabilitation Facility | 3841 W 130th St, Hawthorne, CA 90250-5311 | 2016-06-16 |
| 1619008380 | Behavioral Health Services | Substance Abuse Rehabilitation Facility | 12917 Cerise Ave, Hawthorne, CA 90250-5520 | 2007-03-07 |
| 1770924680 | Bhs Pacifica House | Substance Abuse Rehabilitation Facility | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2013-07-09 |
| 1932245768 | Volunteers of America-gny | Substance Abuse Rehabilitation Facility | 50 Broadway, 2nd Floor, Hawthorne, NY 10532-1245 | 2007-01-29 |
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| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| 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.