ANGIE WELLNESS & RECOVERY CENTER


Address: 637 N Park Ave, Pomona, CA 91768-3669
Phone: 9094188289

ANGIE WELLNESS & RECOVERY CENTER (NPI# 1346594405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346594405
Entity Type Organization
Organization Name ANGIE WELLNESS & RECOVERY CENTER
Practice Address 637 N Park Ave
Pomona
CA 91768-3669
Practice Telephone 9094188289
Mailing Telephone 9094188289
Enumeration Date 2012-10-28
Last Update Date 2012-10-28
Authorized Official Name GLORY BASSEY EDUKERE (PRESIDENT / EXECUTIVE DIRECTOR)
Authorized Official Telephone 9094188289
Authorized Official Credential BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 637 N PARK AVE
City POMONA
State CA
Zip Code 91768-3669

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699385971 Behavioral Health Services, Inc. Substance Abuse Rehabilitation Facility 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 2020-08-03
1427690338 Sharon Beatrice Moreno Counselor 2180 Valley Bvld, Pomona, CA 91768 2019-10-11
1710492087 Freddie Lee Dominguez Counselor 2180 W Vally Blvd, Pomona, CA 91768 2017-12-08
1205350295 Angie Lorraine Gallego-arellano Case Manager/Care Coordinator 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 2017-08-01
1154851913 Maria Concepcion Galvez Counselor 2180 W Valley Blvd, Pomona, CA 91768 2017-06-14
1689107500 Margie Moreno Interpriting Services Case Management 675 North Park Avenue, Pomona, CA 91768 2017-04-07
1386006864 Evelyn Benitez Marriage & Family Therapist 1023 Groff St, Pomona, CA 91768 2016-03-24
1962891291 Consuelo Rivera Aguilar Speech-Language Pathologist 651 North Main Street, Pomona, CA 91768 2015-01-09
1134557648 Rodolfo Perez Jr. Nurse Practitioner 1196 North Park Ave, Pomona, CA 91768 2013-10-18
1588008361 Medi-cure Health Services Counselor 1921 West Arroyo Street, Pomona, CA 91768 2013-04-23
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326653262 Fernando Iniguez Community/Behavioral Health 404 W Alvarado St, Pomona, CA 91768-3015 2020-09-08
1972124378 Rosa Guadalupe Garcia Community/Behavioral Health 1890 N Garey Ave Ste C, Pomona, CA 91767-2923 2020-04-27
1215489000 Boys Republic - Pomona Residence Community/Behavioral Health 733 N Garey Ave, Pomona, CA 91767 2016-10-27
1700270188 Hillsides Community/Behavioral Health 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3061 2015-03-24
1902223589 Anka Behavioral Health, Inc. Community/Behavioral Health 3 Cottontail Dr, Pomona, CA 91766 2014-03-21
1720404239 Anka Behavioral Health, Inc. Community/Behavioral Health 942 Barbara Ln, Pomona, CA 91767 2014-03-07
1801235973 Medi-cure Health Services, Inc. Community/Behavioral Health 1444 E Holt Ave, Pomona, CA 91767-5865 2013-06-21
1073952149 Medi-cure Health Services, Inc Community/Behavioral Health 1460 E Holt Ave # 430, Pomona, CA 91767-5856 2013-06-21
1427497593 Medi-cure Health Seervices, Inc. Community/Behavioral Health 1460 E Holt Ave Ste 6, Pomona, CA 91767-5835 2013-06-21
1639476484 Pomona Alcohol & Drug Recovery Center Community/Behavioral Health 475 Bangor St, Pomona, CA 91767-2443 2011-02-14
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Competitor

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City POMONA
Zip Code 91768

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Dataset Information

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.

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