SOCIAL MODEL RECOVERY SYSTEMS, INC. (NPI# 1851389993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851389993 |
| Entity Type | Organization |
| Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Practice Address |
155 Bimini Pl Los Angeles CA 90004-5902 |
| Mailing Address |
223 E Rowland St Covina CA 91723-3147 |
| Practice Telephone | 2133885423 |
| Practice Fax Number | 2133881317 |
| Mailing Telephone | 6263323145 |
| Mailing Fax Number | 6269744164 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-03-21 |
| Authorized Official Name | DAWN N. DADES (SENIOR CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6263323145 |
| Authorized Official Credential | MA, MFT. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190008AN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105813 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 3426 Cogswell Rd, El Monte, CA 91732-2785 | 2016-10-20 |
| 1164709895 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2011-11-09 |
| 1124306386 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2011-07-21 |
| 1740469113 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4610 Santa Anita Ave Ste D, El Monte, CA 91731-1295 | 2007-11-01 |
| 1821126939 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-01 |
| 1497834089 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 223 E Rowland St, Covina, CA 91723-3147 | 2006-11-03 |
| 1922096072 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2005-10-12 |
| 1821086976 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2005-10-12 |
| 1295004224 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2011-12-20 |
| 1407134158 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 3430 Cogswell Rd, El Monte, CA 91732-2785 | 2011-07-29 |
| Street Address |
155 BIMINI PL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932869 | Karina Juarez | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-11-02 |
| 1740893361 | Kamau Akili Shabazz | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-08-24 |
| 1629689187 | Christopher W Fisher | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-08-10 |
| 1548871023 | Beatriz Griselda Argumedo I | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-08-10 |
| 1760091730 | Melissa Quezada | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-07-27 |
| 1184249120 | Robert Washington-lee | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-06-16 |
| 1104445204 | Rilind Mcnamara | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-04-09 |
| 1750910279 | Yvette A Zabala | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-04-06 |
| 1689202756 | Dulce Belen Gonzalez | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-04-01 |
| 1437782869 | Curtis Yarbrough | Counselor | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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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.