HAMBURGER HOME (NPI# 1265812978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265812978 |
| Entity Type | Organization |
| Organization Name | HAMBURGER HOME |
| Other Organization Name | AVIVA FAMILY AND CHILDREN'S SERVICES |
| Practice Address |
3680 E Imperial Hwy Suite 520 Lynwood CA 90262-2697 |
| Practice Telephone | 3238760550 |
| Mailing Telephone | 3238760550 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | MRS. REGINA BETTE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3238760550 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Aviva Family and Children's Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578099792 | Hamburger Home | Community/Behavioral Health | 4063 Ingraham St, Los Angeles, CA 90005-3217 | 2017-05-08 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1295185957 | Hamburger Home | Community/Behavioral Health | 1501 Murchison St, Los Angeles, CA 90033-1526 | 2016-06-14 |
| 1992154876 | Hamburger Home | Community/Behavioral Health | 1316 N Bronson Ave, 800, Los Angeles, CA 90028-8415 | 2016-06-10 |
| 1902254998 | Hamburger Home | Community/Behavioral Health | 650 S Union Ave, Los Angeles, CA 90017-1633 | 2016-05-31 |
| 1134589153 | Hamburger Home | Community/Behavioral Health | 1015 S Lorena St, Los Angeles, CA 90023-2222 | 2016-03-03 |
| 1871953893 | Hamburger Home | Community/Behavioral Health | 2025 Griffin Ave, Los Angeles, CA 90031-3003 | 2016-03-03 |
| 1225498249 | Hamburger Home | Community/Behavioral Health | 4435 Huntington Dr N, Los Angeles, CA 90032-2641 | 2016-03-03 |
| 1679933840 | Hamburger Home | Community/Behavioral Health | 1512 Arlington Ave, Los Angeles, CA 90019-4552 | 2016-03-02 |
| 1033579115 | Hamburger Home | Community/Behavioral Health | 3311 N Figueroa St, Los Angeles, CA 90065-1527 | 2016-03-02 |
| Street Address |
3680 E IMPERIAL HWY SUITE 520 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823814 | Ricardo Enrique Mckenzie | Internal Medicine | 3680 E Imperial Hwy, Suite 470, Lynwood, CA 90262-2659 | 2005-07-07 |
| 1326684697 | Charlene Alugbue | Counselor | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2019-11-21 |
| 1518450451 | Tyrone Ledford | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2018-06-13 |
| 1184130718 | Brisa Aidee Aguilar | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262 | 2017-12-19 |
| 1588184022 | Tiffany Martinez | Case Manager/Care Coordinator | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2017-06-26 |
| 1942741798 | Western Dental Services, Inc. | Dentist | 3680 E Imperial Hwy, Suite 100, Lynwood, CA 90262-2659 | 2017-03-13 |
| 1033666565 | Fabby Badillo Contreras | Rehabilitation Practitioner | 3680 E Imperial Hwy, Suite 520, Lynwood, CA 90262 | 2016-09-01 |
| 1003267154 | Yvette Trujillo | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-06-29 |
| 1407205420 | Kimberly Maldonado | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-06-09 |
| 1699137893 | Mayra Lucas | Rehabilitation Practitioner | 3680 E Imperial Hwy, Lynwood, CA 90262-2659 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578990644 | His Gifts Inc | Community/Behavioral Health | 12204 South San Pedro Street Los Angeles, Ca 90061, 10910 Long Beach Blvd Suite 103, Lynwood, CA 90262 | 2013-10-03 |
| 1578800280 | Shields for Families | Community/Behavioral Health | 11705 Deputy Yamamoto Pl Ste A, Lynwood, CA 90262-4031 | 2013-01-15 |
| 1437404340 | Atlantic Recovery Services | Community/Behavioral Health | 11387 Bullis Rd, Lynwood, CA 90262-3660 | 2012-07-17 |
| 1972864858 | Children's Institute, Inc | Community/Behavioral Health | 2610 Industry Way Blvd., Suite C, Lynwood, CA 90262-4283 | 2012-06-06 |
| 1073809687 | Atlantic Recovery Services | Community/Behavioral Health | 3898 Abbott Rd, Lynwood, CA 90262-2106 | 2011-06-22 |
| 1902192511 | Atlantic Recovery Services | Community/Behavioral Health | 11300 Spruce St, Lynwood, CA 90262-3629 | 2011-06-22 |
| 1386930089 | Atlantic Recovery Services | Community/Behavioral Health | 11300 Wright Rd, Lynwood, CA 90262-3126 | 2011-06-22 |
| 1326334939 | Atlantic Recovery Services | Community/Behavioral Health | 4050 E Imperial Hwy, Lynwood, CA 90262-2853 | 2011-06-22 |
| 1093009037 | Atlantic Recovery Services | Community/Behavioral Health | 5246 Martin Luther King Jr Blvd, Lynwood, CA 90262-3903 | 2011-06-07 |
| 1376778860 | Shields for Families | Community/Behavioral Health | 2620 Industry Way Ste E-f, Lynwood, CA 90262-4024 | 2009-05-27 |
| Find all providers in LYNWOOD | ||||
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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.