RENEW INTEGRATED PROGRAM-2 INC


Address: 5306 Figueroa Ave., Huntington Park, CA 90042-4004
Phone: 5624263300

RENEW INTEGRATED PROGRAM-2 INC (NPI# 1790124121) 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) 1790124121
Entity Type Organization
Organization Name RENEW INTEGRATED PROGRAM-2 INC
Practice Address 5306 Figueroa Ave.
Huntington Park
CA 90042-4004
Mailing Address Po Box 20140
Long Beach
CA 90801-3140
Practice Telephone 5624263300
Practice Fax Number 5626373244
Mailing Telephone 5624263300
Mailing Fax Number 5626373244
Enumeration Date 2013-06-19
Last Update Date 2013-06-19
Authorized Official Name DR. LAJA I IBRAHEEM (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5624263300
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health A66124 CA Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730520701 Renew Integrated Program-2 Inc Community/Behavioral Health 3801 S Broadway, Los Angeles, CA 90037 2013-07-08
1659710002 Renew Integrated Program-2 Inc Community/Behavioral Health 4822 Gleason St, Los Angeles, CA 90022-1680 2013-06-19
1922449990 Renew Integrated Program-2 Inc Community/Behavioral Health 581 Claremont Pl, Pomona, CA 91767-4904 2013-07-08
1215378286 Renew Integrated Program-2 Inc Community/Behavioral Health 715 Brady Ave, Los Angeles, CA 90022-3603 2013-07-08
1760823736 Renew Integrated Program-2 Inc Community/Behavioral Health 8767 Parthenia Pl, North Hills, CA 91343-5115 2013-07-08
1841631819 Renew Integrated Program-2 Inc Community/Behavioral Health 13456 Van Nuys Blvd, Pacoima, CA 91331-3057 2013-07-08
1225479298 Renew Integrated Program-2 Inc Community/Behavioral Health 2290 Pacific Ave, Long Beach, CA 90806-4312 2013-07-08
1952742926 Renew Integrated Program-2 Inc Community/Behavioral Health 495 E Market St, Long Beach, CA 90805-5913 2013-07-08
1366883332 Renew Integrated Program-2 Inc Community/Behavioral Health 9722 San Antonio Ave, South Gate, CA 90280-4620 2013-07-08
1205277274 Renew Integrated Program-2 Inc Community/Behavioral Health 11859 Firestone Blvd, Norwalk, CA 90650-2902 2013-07-08

Office Location

Street Address 5306 FIGUEROA AVE.
City HUNTINGTON PARK
State CA
Zip Code 90042-4004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972140432 Oak and Stone Marriage and Family Therapy, Inc. Marriage & Family Therapist 5619 North Figueroa Street, #212, Los Angeles, CA 90042 2019-12-04
1730640624 Maria Guadalupe Bykowski Nurse Practitioner Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 2019-03-25
1366935892 Chris Scott Physical Therapist 4295 Via Arbolada #103, Los Angeles, CA 90042 2018-06-09
1043744055 Magdalene Elise Wilhelm Counselor 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 2017-04-17
1669918967 Sara Semal Counselor 5140 1/2 York Blvd, Los Angeles, CA 90042 2017-01-10
1164977427 Jennifer Ann Walters Marriage & Family Therapist 4809 York Blvd, Los Angeles, CA 90042 2016-08-16
1073922415 Michael Gerald Bauer Marriage & Family Therapist 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 2014-08-11
1639519770 Adam Cloe Pathology 6033 Hillandale Dr, Los Angeles, CA 90042 2013-07-03
1730480682 Stat Response Ambulance, Inc. Secured Medical Transport (VAN) 4750 York Blvd., Los Angeles, CA 90042 2010-11-09
1427295377 Carmen Castellon Dental Assistant 5807 M Figueroa St, Los Angeles, CA 90042 2009-01-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982109013 Alma Family Services Community/Behavioral Health 6222 State Street, Rm Cou, Huntington Park, CA 90255-4403 2018-03-29
1649775891 Alma Family Services Community/Behavioral Health 6055 Corona Avenue, Rm Psa, Huntington Park, CA 90255-3332 2018-03-29
1689179830 Alma Family Services Community/Behavioral Health 6537 Malabar St Rm 61, Huntington Park, CA 90255-4025 2018-03-29
1184129330 Alma Family Services Community/Behavioral Health 3232 Saturn Ave Rm Well, Huntington Park, CA 90255-5440 2018-03-29
1245735547 Alma Family Services Community/Behavioral Health 2660 E 57th St Rm 12, Huntington Park, CA 90255-2545 2018-03-28
1194134007 Motivational Recovery Services Community/Behavioral Health 8561 Santa Fe Ave., Huntington Park, CA 90265 2014-08-05
1578801510 The Village Family Services, Inc. Community/Behavioral Health 6728 Seville Ave, Huntington Park, CA 90255-4804 2013-01-25
1669618054 Atlantic Recovery Services Community/Behavioral Health 2071 Saturn Ave, Huntington Park, CA 90255-3635 2009-01-06
1700249893 Alma Family Services Community/Behavioral Health 2677 Zoe Ave, Suite 114, Huntington Park, CA 90255-6995 2016-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1013518687 Turning Point of Central California, Inc. Community/Behavioral Health 3636 N 1st St Ste 112, Fresno, CA 93726-6818 2020-11-02
1588264113 Licensed Clinical Social Worker Community Alliance PC Community/Behavioral Health 301 S 23rd St, Richmond, CA 94804-2807 2020-11-01
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1114527637 Clarke-lauren Stevenson Richard Community/Behavioral Health 1277 E Loma Linda Ave, Fresno, CA 93720-2668 2020-10-26
1891395232 Jacqulyn Danielle Rios Community/Behavioral Health 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 2020-10-26
1346849213 Greystone Behavioral Health Nursing Inc Community/Behavioral Health 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 2020-10-22
1376142216 Melissa Reyes Aguilar Community/Behavioral Health 2248 S Cochran Ave, Los Angeles, CA 90016-1218 2020-10-21
1578162616 Bayfront Healthcare Services Community/Behavioral Health 2703 N Studebaker Rd, Long Beach, CA 90815-1628 2020-10-20
1326647686 Sierra Child & Family Services Community/Behavioral Health 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 2020-10-19
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Competitor

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City HUNTINGTON PARK
Zip Code 90042

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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