SHIELDS FOR FAMILIES


Address: 12021 S. Wilmington Ave Lot C, Los Angeles, CA 90059-3019
Phone: 3232425000

SHIELDS FOR FAMILIES (NPI# 1003948837) 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) 1003948837
Entity Type Organization
Organization Name SHIELDS FOR FAMILIES
Practice Address 12021 S. Wilmington Ave Lot C
Los Angeles
CA 90059-3019
Mailing Address 11601 S Western Ave
Los Angeles
CA 90047-5006
Practice Telephone 3232425000
Practice Fax Number 3232425011
Enumeration Date 2007-03-09
Last Update Date 2016-05-24
Authorized Official Name DR. KATHRYN S ICENHOWER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3232425000
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI-CAL PROVIDER NUMBER 7573 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578800280 Shields for Families Community/Behavioral Health 11705 Deputy Yamamoto Pl Ste A, Lynwood, CA 90262-4031 2013-01-15
1376778860 Shields for Families Community/Behavioral Health 2620 Industry Way Ste E-f, Lynwood, CA 90262-4024 2009-05-27
1003041591 Shields for Families Community/Behavioral Health 2620 Industry Way Ste A, F, Lynwood, CA 90262-4042 2009-05-27
1477759603 Shields for Families Substance Abuse Rehabilitation Facility 801 W 70th St, Los Angeles, CA 90044-5218 2007-06-25
1558492454 Shields for Families Social Worker 12714 Avalon Blvd Ste 109, Los Angeles, CA 90061-2730 2007-03-09
1407987480 Shields for Families Case Management 105 W Victoria St # 106, Long Beach, CA 90805-2162 2007-03-08
1437695566 Shields for Families Community/Behavioral Health 3584 Martin Luther King Jr Blvd, Lynwood, CA 90262-2050 2017-01-12
1871941443 Shields for Families Community/Behavioral Health 9307 S Central Ave, Los Angeles, CA 90002-2017 2016-05-24
1326468836 Shields for Families Community/Behavioral Health 11705 Deputy Yamamoto Pl Ste B, Lynwood, CA 90262-4031 2014-04-23
1962832931 Shields for Families Substance Abuse Rehabilitation Facility 801 W 70th St, Los Angeles, CA 90044-5218 2013-11-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SHIELDS FOR FAMILIES 11601 S Western Ave, Los Angeles, CA 90047-5006

Office Location

Street Address 12021 S. WILMINGTON AVE LOT C
City LOS ANGELES
State CA
Zip Code 90059-3019

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184222044 Shs Senior Care Los Angeles Inc Case Management 8939 S Sepulveda Blvd Ste 350, Los Angeles, CA 90045-3657 2020-10-13
1407463961 Helping Hands Inspire Happy Hearts, LLC Case Management 7083 Hollywood Blvd Ste 4069, Los Angeles, CA 90028-8901 2020-09-29
1487272688 Caring About Lives Case Management 4197 4th Ave, Los Angeles, CA 90008-3901 2020-07-14
1497307524 The Good Word Foundation Case Management 3310 S Central Ave, Los Angeles, CA 90011-2518 2019-07-09
1215597976 Positive Education Affects Change Everywhere-p.e.a.c.e Case Management 8621 Ruthelen St, Los Angeles, CA 90047-3208 2019-06-15
1538654124 Los Angeles County Children and Families First - Proposition 10 Commis Case Management 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 2018-06-26
1669964268 Love Home Inc. Case Management 1506 W 45th St, Los Angeles, CA 90062-2001 2018-05-31
1902310683 Apla Health & Wellness Case Management 3741 S La Brea Ave, Los Angeles, CA 90016-5309 2017-11-17
1619410164 Renewyourmind, LLC Case Management 3900 Carmona Ave, Los Angeles, CA 90008-1015 2016-11-30
1427590389 Childrens Institute Inc Case Management 679 New Hampshire Ave., Los Angeles, CA 90005-1355 2016-11-09
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Competitor

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City LOS ANGELES
Zip Code 90059

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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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