NEW BEGINNINGS RECOVERY TREATMENT CENTER, INC. (NPI# 1689797995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689797995 |
| Entity Type | Organization |
| Organization Name | NEW BEGINNINGS RECOVERY TREATMENT CENTER, INC. |
| Practice Address |
5311 S Western Ave Los Angeles CA 90062-2703 |
| Practice Telephone | 3232992111 |
| Mailing Telephone | 3232992111 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TATYANA YAKOVENKO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3106664082 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
190337BN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 19713000 | 01 |
| Street Address |
5311 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90062-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089886 | Iris Cohen | Counselor | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2020-07-02 |
| 1649816810 | Dion Smith | Counselor | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2019-11-22 |
| 1679117535 | Kristeen Renee Jackson | Marriage & Family Therapist | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2019-11-04 |
| 1417598442 | Nicole Ann Kindle | Counselor | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2019-10-01 |
| 1750938569 | Jenice Scurlark | Case Manager/Care Coordinator | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2019-08-26 |
| 1952954422 | Phylicia Tillett | Case Manager/Care Coordinator | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2019-07-23 |
| 1154897049 | Joshua Javedanfar | Counselor | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2018-10-17 |
| 1023592920 | Beatriz Julia Martinez | Case Manager/Care Coordinator | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2018-09-18 |
| 1467950238 | Dianna Rodriguez | Counselor | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2018-01-26 |
| 1689043762 | Sonya Groomes | Case Manager/Care Coordinator | 5311 S Western Ave, Los Angeles, CA 90062-2703 | 2015-09-18 |
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| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| 1083194773 | Day One Detox Center, Inc | Substance Abuse Rehabilitation Facility | 1421 W 46th St, Los Angeles, CA 90062 | 2018-08-21 |
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1033535794 | Trusana Monique Hall | Licensed Vocational Nurse | 4103 S. Halldale Ave, Los Angeles, CA 90062 | 2014-03-05 |
| 1093139644 | Daniel Garcia | Rehabilitation Practitioner | 3381 Western Ave., Los Angeles, CA 90062 | 2014-02-18 |
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1184902934 | Gerry Lynn Lockhart | Case Manager/Care Coordinator | 3881 S Western Avenue, Los Angeles, CA 90062 | 2011-07-28 |
| 1285921692 | Atlantic Recovery Services | Community/Behavioral Health | 1701 Browning Street, Los Angeles, CA 90062 | 2011-07-06 |
| 1174796452 | Tacora Leggett | Counselor | 5311 S Western Avenue, Los Angeles, CA 90062 | 2008-04-08 |
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| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
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| 1821302886 | His Sheltering Arms, Inc. | Substance Abuse Rehabilitation Facility | 11101 S Main St, Los Angeles, CA 90061-1925 | 2010-08-02 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1386823789 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 10860 S Denker Ave, Los Angeles, CA 90047-4622 | 2007-11-01 |
| 1083893929 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 325 E 111th St, Los Angeles, CA 90061-3003 | 2007-10-29 |
| 1487847018 | Singleton Housing Project | Substance Abuse Rehabilitation Facility | 1897 W Jefferson Blvd Ste A, Los Angeles, CA 90018-3434 | 2007-08-27 |
| 1821200551 | The Discovery Program | Substance Abuse Rehabilitation Facility | 1831 Benecia Ave, Los Angeles, CA 90025-5011 | 2007-05-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90062 |
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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.