PALMS RESIDENTIAL CARE FACILITY (NPI# 1114197076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114197076 |
| Entity Type | Organization |
| Organization Name | PALMS RESIDENTIAL CARE FACILITY |
| Other Organization Name | MT. CARMEL OUTPATIENT CLINIC |
| Practice Address |
801 W 70th St Los Angeles CA 90044-5218 |
| Practice Telephone | 3237590340 |
| Practice Fax Number | 3237590466 |
| Mailing Telephone | 3237590340 |
| Mailing Fax Number | 3237590466 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MR. KEVIN L. PICKETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3237590340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mt. Carmel Outpatient Clinic | Other Name - Individual/Organization |
| Street Address |
801 W 70TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90044-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477759603 | Shields for Families | Substance Abuse Rehabilitation Facility | 801 W 70th St, Los Angeles, CA 90044-5218 | 2007-06-25 |
| 1649879578 | James Scott IIi | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-10-21 |
| 1790390193 | George Alexander | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-09-11 |
| 1538789227 | Ronnie Pitre | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-04-22 |
| 1609402999 | Brian Cruz | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-03-18 |
| 1326670944 | Devon Hurd | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1114559721 | Anita Smith | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1053943621 | Damion Wiseman | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1992337513 | Khylia Henderson | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1821630559 | Tasha Collins | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2019-10-15 |
| Find all providers in the same location | ||||
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| 1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
| 1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
| Find all providers in zip 90044 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90044 |
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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.