CANON HUMAN SERVICES CENTERS INC (NPI# 1437582186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437582186 |
| Entity Type | Organization |
| Organization Name | CANON HUMAN SERVICES CENTERS INC |
| Practice Address |
9705 Holmes Ave Los Angeles CA 90002-3031 |
| Practice Telephone | 3232499097 |
| Practice Fax Number | 3232499121 |
| Mailing Telephone | 3232499097 |
| Mailing Fax Number | 3232499121 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | BARBARA BUTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3232499097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190099EN | CA | Residential Treatment Facilities |
| Street Address |
9705 HOLMES AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083754 | Darrell Davis | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-08-12 |
| 1972113868 | Felise White | Registered Nurse | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-08-05 |
| 1194334284 | Robert Esquivel | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-07-24 |
| 1376180141 | Jonathan Barber | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2019-11-29 |
| 1255835344 | David John Howe | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-03-22 |
| 1073021770 | Kyser Hall Jr. | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-01-16 |
| 1952819666 | Watasha Robinson-huff | Case Manager/Care Coordinator | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-01-16 |
| 1588184097 | Janice M Hill | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2017-06-26 |
| 1558753004 | Canon Human Services Centers, Inc | Community/Behavioral Health | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2015-02-20 |
| 1043613458 | Arneta Finney-beverly | Nurse Practitioner | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| 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 |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90002 |
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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.