MEDI CURE HEALTH SERVICES, INC (NPI# 1487958740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487958740 |
| Entity Type | Organization |
| Organization Name | MEDI CURE HEALTH SERVICES, INC |
| Other Organization Name | NEW DESIGNS CHARTER SCHOOL |
| Practice Address |
12714 Avalon Blvd Los Angeles CA 90061-2730 |
| Mailing Address |
3756 Santa Rosalia Dr Ste 417 Los Angeles CA 90008-3614 |
| Practice Telephone | 3238399067 |
| Practice Fax Number | 3232951071 |
| Mailing Telephone | 3232951136 |
| Mailing Fax Number | 3232951071 |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | DR. JOSEPHINE C. KANNIKE-MARTINS (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3232951136 |
| Authorized Official Credential | PHD., RD |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDI CURE HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 190636AN | CA | Agencies |
| Other Name | Type Code |
|---|---|
| New Designs Charter School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497005524 | Medi Cure Health Services, Inc | Community/Behavioral Health | 3516 N Broadway, Los Angeles, CA 90031-2833 | 2012-09-17 |
| 1417251687 | Medi Cure Health Services, Inc | Community/Behavioral Health | 4131 S Vermont Ave, Los Angeles, CA 90037-1918 | 2011-01-03 |
| 1811291180 | Medi Cure Health Services, Inc | Community/Behavioral Health | 2303 Figueroa Way, Los Angeles, CA 90007-2504 | 2010-12-30 |
| Street Address |
12714 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90061-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451102 | Giselle L. Gourrier | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2007-03-07 |
| 1003067273 | Sarah Mojtahedi | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-10-07 |
| 1710138078 | Brittany Carraway | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-10-06 |
| 1588814305 | Nailah Wilder | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-09-29 |
| 1366699795 | Margaruite Evans | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-08-27 |
| 1225285968 | Kenia Mendez | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-08-25 |
| 1629234190 | Rinnah Hunnicutt-ramirez | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-08-04 |
| 1750546412 | Derrick Smith | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-07-22 |
| 1871756213 | Camille Forby | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-07-07 |
| 1447410170 | Yolanda Avitia | Counselor | 12714 Avalon Blvd, Los Angeles, CA 90061-2730 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235695974 | Phyllis Kirby Tisdale | Nurse Practitioner | 145 E 124th Street, Los Angeles, CA 90061 | 2019-02-19 |
| 1003160003 | Alicia Vera | Counselor | 245 E 120th Street, Los Angeles, CA 90061 | 2012-10-30 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1124202817 | David Anthony Martinez | Counselor | 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 | 2007-12-18 |
| 1255538690 | Ceed Security Services Inc | Durable Medical Equipment & Medical Supplies | 12815 South Avalon Blvd, Los Angeles, CA 90061 | 2007-06-29 |
| 1134335128 | Parklane Medical Group | Family Medicine | 12900 South Avalon Bl., Los Angeles, CA 90061 | 2007-05-15 |
| 1598892184 | Jose Rodriguez | Counselor | 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 | 2007-02-28 |
| 1316182975 | Luis Rabago | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 | 2008-12-11 |
| 1619169406 | Emmanuel A Ayodele | General Practice | 11126 S Main St, Los Angeles, CA 90061 | 2007-08-15 |
| Find all providers in zip 90061 | ||||
| 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] |
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|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1730795188 | Connect Therapies | Community/Behavioral Health | 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 | 2020-09-21 |
| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90061 |
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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.