HAMBURGER HOME (NPI# 1619400330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619400330 |
Entity Type | Organization |
Organization Name | HAMBURGER HOME |
Other Organization Name | AVIVA |
Practice Address |
1701 Camino Palmero St Los Angeles CA 90046-2902 |
Practice Telephone | 3238760550 |
Mailing Telephone | 3238760550 |
Enumeration Date | 2017-04-10 |
Last Update Date | 2017-04-10 |
Authorized Official Name | MRS. AMANDA SMITH (ASSISTANT VP) |
Authorized Official Telephone | 3238760550 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Aviva | 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 |
1701 CAMINO PALMERO ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90046-2902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477614881 | Ellen Treadway Jones | Marriage & Family Therapist | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2006-12-12 |
1790296796 | Julia Rose-ramo | Dance Therapist | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-10-17 |
1689192452 | Noelle Palm | Student in an Organized Health Care Education/Training Program | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-08-31 |
1780125666 | Cindy De Leon | Licensed Vocational Nurse | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-03-13 |
1952847063 | Irma Quintero | Rehabilitation Practitioner | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-01-12 |
1043685506 | Jaime Tai Ming Coplan | Rehabilitation Practitioner | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2015-12-09 |
1679966428 | Angel Mougey | Rehabilitation Practitioner | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2015-03-17 |
1679962351 | Michelle Kamrava | Marriage & Family Therapist | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2015-01-17 |
1649679168 | Elisabeth Winchell | Rehabilitation Practitioner | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2014-08-20 |
1649692427 | Lindsey Susanne Araiza | Counselor | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2014-01-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
Find all providers in zip 90046 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
1780129486 | Los Angeles Youth Network | Residential Treatment Facility, Emotionally Disturbed Children | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-04 |
1245773290 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2016-11-23 |
1982147922 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 2122 W 107th St, Los Angeles, CA 90047-4305 | 2016-11-23 |
1306395454 | Deliann-lucile | Residential Treatment Facility, Emotionally Disturbed Children | 5800 Hannum Ave Ste 230, Los Angeles, CA 90230-6553 | 2016-09-30 |
1922548932 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2017-02-24 |
1992243380 | Vista Del Mar Child and Family Svc. | Residential Treatment Facility, Emotionally Disturbed Children | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2017-02-06 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90046 |
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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.