BLVD CENTERS, INC. (NPI# 1083136188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083136188 |
| Entity Type | Organization |
| Organization Name | BLVD CENTERS, INC. |
| Practice Address |
518 Queensland Cir Corona CA 92879-1381 |
| Mailing Address |
Po Box 512030 Los Angeles CA 90051-0030 |
| Practice Telephone | 4243721123 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | MR. JASON MONROE (COO) |
| Authorized Official Telephone | 6025502211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790156057 | Blvd Centers, Inc. | Clinic/Center | 1608 Sawtelle Blvd, Los Angeles, CA 90025-3114 | 2015-10-13 |
| 1356768089 | Blvd Centers, Inc. | Clinic/Center | 1776 N Highland Ave, Los Angeles, CA 90028-4404 | 2014-03-19 |
| 1093229593 | Blvd Centers, Inc. | Counselor | 1776 N Highland Ave, Los Angeles, CA 90028-4404 | 2017-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BLVD CENTERS, INC. | 448 S Hill St, Suite 303, Los Angeles, CA 90013 |
| Street Address |
518 QUEENSLAND CIR |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| 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 |
|---|---|---|---|---|
| 1295377570 | Daylight Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 518 Queensland Cir Ste 101, Corona, CA 92879-1381 | 2019-10-08 |
| 1306355144 | Ridgeview Recovery LLC | Substance Abuse Rehabilitation Facility | 1216 Cleveland Way, Corona, CA 92881-5906 | 2017-09-25 |
| 1578084257 | San Diego Detox | Substance Abuse Rehabilitation Facility | 9440 Pats Point Dr, Corona, CA 92883-5014 | 2017-07-03 |
| 1043768484 | San Diego Detox | Substance Abuse Rehabilitation Facility | 9480 Pats Point Dr, Corona, CA 92883-5014 | 2016-09-14 |
| 1265888622 | Casa Contenta Recovery Group, Inc. | Substance Abuse Rehabilitation Facility | 8431 Weirick Rd, Corona, CA 92883-4994 | 2016-05-04 |
| 1225409584 | Reflections Recovery, LLC | Substance Abuse Rehabilitation Facility | 630 Gregory Cir, Corona, CA 92881-3596 | 2015-10-13 |
| 1043698509 | Darlene Leon | Substance Abuse Rehabilitation Facility | 13757 Aspen Leaf Ln, Corona, CA 92880-0721 | 2015-05-15 |
| 1376186718 | Daylight Recovery Services | Substance Abuse Rehabilitation Facility | 9440 Pats Point Dr, Corona, CA 92883-5014 | 2019-10-17 |
| 1922640580 | Daylight Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 9480 Pats Point Dr, Corona, CA 92883-5014 | 2019-10-15 |
| 1174994305 | Elmcor Youth and Adult Activities | Substance Abuse Rehabilitation Facility | 10720 Northern Blvd, Corona, NY 11368-1236 | 2015-10-14 |
| Find all providers in CORONA | ||||
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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.