ST. ANNE'S MATERNITY HOME


Address: 155 N Occidental Blvd, Floors 1, 2 & 3, Los Angeles, CA 90026-4641
Phone: 2133812931

ST. ANNE'S MATERNITY HOME (NPI# 1780116632) 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) 1780116632
Entity Type Organization
Organization Name ST. ANNE'S MATERNITY HOME
Other Organization Name ST. ANNE'S STRTP
Practice Address 155 N Occidental Blvd
Floors 1, 2 & 3
Los Angeles
CA 90026-4641
Practice Telephone 2133812931
Practice Fax Number 2133817804
Mailing Telephone 2133812931
Mailing Fax Number 2133817804
Enumeration Date 2017-03-30
Last Update Date 2017-04-25
Authorized Official Name MR. TONY WALKER (PRESIDENT AND CEO)
Authorized Official Telephone 2133812931
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 191802087 CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
St. Anne's STRTP Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457723777 St. Anne's Maternity Home Community/Behavioral Health 3701 Stocker St, Suite 104, View Park, CA 90008-5145 2015-10-26
1881893790 St. Anne's Maternity Home Clinic/Center 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2007-07-12
1134255458 St. Anne's Maternity Home Clinic/Center 155 N Occidental Blvd, Floor 1, 2 & 3, Los Angeles, CA 90026-4641 2007-02-23

Office Location

Street Address 155 N OCCIDENTAL BLVD
FLOORS 1, 2 & 3
City LOS ANGELES
State CA
Zip Code 90026-4641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801994850 Michael Grant Rocco Social Worker 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2006-09-20
1508472911 Trinidad J Castillo Counselor 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-09-21
1801414032 Casandra Irene Phillips Counselor 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-07-14
1386262517 Farah Zerehi Marriage & Family Therapist 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-07-14
1780202036 Nathalie Pacheco Guzman Counselor 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-07-13
1730700261 Heidi Rosemary Payton Case Manager/Care Coordinator 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-05-06
1093341372 Brenda Sandoval Case Manager/Care Coordinator 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-03-18
1902432560 Ana Cristina Ortega Counselor 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-03-16
1053942540 Briana Nicole Pambakian Student in an Organized Health Care Education/Training Program 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-02-03
1235769894 Alyson M Fortner Counselor 155 N Occidental Blvd, Los Angeles, CA 90026-4641 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497305684 Mieshia Gaston Technician 831 Lucile Ave, 201, Los Angeles, CA 90026 2019-09-19
1265902928 Shivangi Amin Md, Inc Family Medicine 701 N Alvarado St Fl 1, Los Angeles, CA 90026 2018-11-26
1013402478 Guillermo Gonzalez Lopez Social Worker La Cada, 1773 Griffith Park, Los Angeles, CA 90026 2018-06-28
1720504343 Nadia Jocelyn Munoz Counselor 155 N. Occidental Blvd., Los Angeles, CA 90026 2017-08-15
1518489434 Paul Keeley Marriage & Family Therapist 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 2017-07-12
1326598079 Yen-chen Chen Speech-Language Pathologist 2836 Sunset Blvd., Los Angeles, CA 90026 2016-10-06
1386038446 Grace Ann M Navos Physical Therapy Assistant 2708 Glassell St, Los Angeles, CA 90026 2015-03-26
1578964227 Giselle Louise Jones Social Worker 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 2014-09-12
1619394160 Mary Ann Flores Topico Nurse Practitioner 1379 Angelina St., Los Angeles, CA 90026 2014-03-22
1447674981 Tribeca Pediatrics, PC Pediatrics 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 2014-02-04
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386283984 Aptus Pacem, LLC Community Based Residential Treatment Facility, Mental Illness 5035 E Echo St, Los Angeles, CA 90042-3915 2019-12-30
1023578705 Mindful Growth Foundation Community Based Residential Treatment Facility, Mental Illness 1208 W 38th St, Los Angeles, CA 90037-1106 2019-03-20
1114491636 Mindful Growth Foundation Community Based Residential Treatment Facility, Mental Illness 3924 W Adams Blvd, Los Angeles, CA 90018-1755 2019-01-17
1467963256 Special Service for Groups, Inc. Community Based Residential Treatment Facility, Mental Illness 2178 Firestone Blvd, Los Angeles, CA 90002 2017-10-19
1184169815 Exodus Recovery, Inc. Community Based Residential Treatment Facility, Mental Illness 3754-56 Overland Ave, Los Angeles, CA 90034-6312 2017-01-04
1205262748 Reese's Board and Care Home Community Based Residential Treatment Facility, Mental Illness 11205 Monitor Ave, Los Angeles, CA 90059-1935 2013-09-16
1093152076 Bridges To Recovery IIii Community Based Residential Treatment Facility, Mental Illness 10201 Charing Cross Rd, Los Angeles, CA 90024-1814 2013-05-30
1104199033 Adrienne James Community Based Residential Treatment Facility, Mental Illness 3776 S Gramercy Pl, One Half, Los Angeles, CA 90018-4377 2012-02-23
1144593518 Dmhlac Eob Pmrt Sa5 Community Based Residential Treatment Facility, Mental Illness 11303 W, Olympic Boulevard, Los Angeles, CA 90066 2012-02-16
1396014544 Bridges To Recovery IIi Community Based Residential Treatment Facility, Mental Illness 777 Sarbonne Rd, Los Angeles, CA 90077-3320 2011-12-16
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Competitor

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City LOS ANGELES
Zip Code 90026

Improve Information

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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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