EVOLVE GROWTH INITIATIVES LLC


Address: 820 Moraga Dr, Los Angeles, CA 90049-1632
Phone: 4242815000

EVOLVE GROWTH INITIATIVES LLC (NPI# 1912310947) 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) 1912310947
Entity Type Organization
Organization Name EVOLVE GROWTH INITIATIVES LLC
Practice Address 820 Moraga Dr
Los Angeles
CA 90049-1632
Mailing Address 300 N Pacific Coast Hwy Ste 2060
El Segundo
CA 90245-4479
Practice Telephone 4242815000
Mailing Telephone 7723619705
Enumeration Date 2014-06-06
Last Update Date 2020-08-20
Authorized Official Name EDDY LAI (CONTROLLER)
Authorized Official Telephone 4242903341
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
N 251S00000X Community/Behavioral Health Agencies
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
C.O.R.E. Melrose Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215538244 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 10525 Fuerte Dr, La Mesa, CA 91941-4350 2020-11-05
1639711039 Evolve Growth Initiatives LLC Clinic/Center 123 Brodia Way, Walnut Creek, CA 94598-4919 2019-10-17
1548802945 Evolve Growth Initiatives LLC Clinic/Center 1261 Panorama Dr, Lafayette, CA 94549-2412 2019-10-17
1356857494 Evolve Growth Initiatives LLC Substance Abuse Rehabilitation Facility 423 Woodbluff Rd, Calabasas, CA 91302 2017-12-27
1669985867 Evolve Growth Initiatives LLC Clinic/Center 2560 Butch Dr, Gilroy, CA 95020 2017-11-09
1669906020 Evolve Growth Initiatives LLC Clinic/Center 5435 Aura Avenue, Tarzana, CA 91356 2017-04-12
1154872372 Evolve Growth Initiatives LLC Clinic/Center 6425 Chesebro Road, Agoura, CA 91301 2016-10-24
1245682087 Evolve Growth Initiatives LLC Clinic/Center 599 Quail Oaks Dr, Ojai, CA 93023 2016-07-05
1922581297 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 1991 Park Ave, San Jose, CA 95126-1423 2018-09-12
1033639307 Evolve Growth Initiatives LLC Community Based Residential Treatment Facility, Mental Illness 4810 Azucena Rd, Woodland Hills, CA 91364-4040 2017-06-27

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations EVOLVE GROWTH INITIATIVES LLC 820 Moraga Dr, Los Angeles, CA 90049

Office Location

Street Address 820 MORAGA DR
City LOS ANGELES
State CA
Zip Code 90049-1632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083161574 Evolve Growth Initiatives, LLC Substance Abuse Rehabilitation Facility 820 Moraga Dr, Los Angeles, CA 90049-1632 2016-09-01
1730592643 Evolve Growth Initiatives LLC Psychiatric Residential Treatment Facility 820 Moraga Dr, Los Angeles, CA 90049-1632 2014-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316564339 Kepp Family & Group Practice Marriage & Family Therapist 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 2020-06-26
1386204493 Steven J Lehrman Marriage & Family Therapist 179 S. Barrington Place, Office A, Los Angeles, CA 90049 2019-06-20
1922562990 Jand. Inc. Eyewear Supplier (Equipment, not the service) 860 S. Sepulveda Blvd., Los Angeles, CA 90049 2019-01-24
1851864946 Christie Schnur Marriage & Family Therapist 11911 San Vicente Blvd., Los Angeles, CA 90049 2019-01-10
1669954012 Barbara Jiji Schenk Marriage & Family Therapist 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 2018-09-02
1972090710 Community Reflections Inc Counselor 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 2018-04-17
1245738830 Dr. Shirin Tabib LLC Marriage & Family Therapist 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 2018-01-29
1295240679 Robert A Brooks Preventive Medicine 149 South Barrington Ave, #346, Los Angeles, CA 90049 2017-12-07
1598286478 Marvin S Serrano Physical Therapy Assistant 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 2017-06-30
1972055812 Evolve Growth Initiatives, LLC Psychiatric Residential Treatment Facility 820 Moraga Drive, Los Angeles, CA 90049 2016-10-26
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346872728 Wellnest Emotional Health and Wellness Clinic/Center 1701 E Cesar E Chavez Ave Ste 532, Los Angeles, CA 90033-2496 2020-02-04
1285916882 Eggleston Youth Centers, Inc. Clinic/Center 3001 W Vernon Ave, Los Angeles, CA 90008-5293 2011-09-09
1770607095 Children's Hospital Los Angeles Clinic/Center 711 N Avenue 53, Los Angeles, CA 90042-2413 2007-03-19
1639207434 Parenting Institute Incorporated Clinic/Center 3761 Stocker St, Suite 211, Los Angeles, CA 90008-5111 2007-03-01
1194850842 Tessie Cleveland Community Services Corporation Clinic/Center 8019 S. Compton Avenue, Los Angeles, CA 90001-3409 2007-02-22
1306908504 Of One Mind LLC Clinic/Center 2001 South Barrington Ave, Suite 300, Los Angeles, CA 90025 2006-12-14
1275025140 The Virtuous Woman, Inc Clinic/Center 2306 W 73rd St, Los Angeles, CA 90043-5342 2018-06-05
1588151484 Key Mentoring Clinic/Center 11727 Barrington Ct Ste 209, Los Angeles, CA 90049-6902 2018-04-16
1518484799 Dr. Lauren Stutman, Psychologist, Apc Clinic/Center 10323 Santa Monica Blvd Ste 111, Los Angeles, CA 90025-5056 2017-08-28
1053776104 Special Service for Groups Clinic/Center 3727 W 6th St, Suite 402, Los Angeles, CA 90020-5112 2015-12-16
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90049

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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