LOS ANGELES YOUTH NETWORK (NPI# 1780129486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780129486 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES YOUTH NETWORK |
| Other Organization Name | BEACHWOOD HOUSE |
| Practice Address |
2471 N Beachwood Dr Los Angeles CA 90068-3004 |
| Mailing Address |
1754 Taft Ave Los Angeles CA 90028-5705 |
| Practice Telephone | 3239620430 |
| Mailing Telephone | 3233662450 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | MARK SUPPER (PRESIDENT/CEO) |
| Authorized Official Telephone | 3234678466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 197603055 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Beachwood House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119380 | Los Angeles Youth Network | Residential Treatment Facility, Emotionally Disturbed Children | 1719 Taft Ave, Los Angeles, CA 90028-5704 | 2017-01-04 |
| Street Address |
2471 N BEACHWOOD DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90068-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558808865 | Michelle Chitel | Social Worker | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-24 |
| 1013454701 | Ciera Davis | Foster Care Agency | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-19 |
| 1568908168 | Shaniece Dinkins | Social Worker | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-06 |
| 1083159693 | Olivia Laviolette | Social Worker | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029367 | Valley Creek Hospice, Inc. | Hospice Care, Community Based | 3179 Barbara Court, F, Los Angeles, CA 90068 | 2014-06-25 |
| 1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
| 1477817708 | Beverly Hansen Weisblatt | Marriage & Family Therapist | 6491 Ivarene Ave., Los Angeles, CA 90068 | 2012-07-02 |
| 1306169180 | Kambiz Kamangar | Dentist | 3400 Cahuenga Bvld West, #310, Los Angeles, CA 90068 | 2010-03-08 |
| 1578891370 | Stepping Stones Pediatric Therapy | Home Health | 3301 Tareco Drive, Los Angeles, CA 90068 | 2009-12-07 |
| 1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
| 1366653479 | Julie Elizabeth Berghofer | Music Therapist | 3855 Broadlawn Dr, Los Angeles, CA 90068 | 2007-05-24 |
| 1467484287 | Lanny Orlin | Marriage & Family Therapist | 3171 Los Feliz Blvd, Suite 200, Los Angeles, CA 90068 | 2006-07-06 |
| 1396880514 | Back In Balance Physical Therapy | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| 1003941253 | Erin Mcguire | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| Find all providers in zip 90068 | ||||
| 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 |
| 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 |
| 1619400330 | Hamburger Home | Residential Treatment Facility, Emotionally Disturbed Children | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-04-10 |
| 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 | 90068 |
Please comment or provide details below to improve the information on LOS ANGELES YOUTH NETWORK.
| 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.