DIXON RECOVERY INSTITUTE, INC. (NPI# 1184859548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184859548 |
| Entity Type | Organization |
| Organization Name | DIXON RECOVERY INSTITUTE, INC. |
| Other Organization Name | DRI/ANIMO LOCKE 3 CHARTER HIGH SCHOOL |
| Practice Address |
325 E 111th St Rms. 241 & 327 Los Angeles CA 90061-3003 |
| Mailing Address |
4715 Crenshaw Blvd #14 Los Angeles CA 90043-1233 |
| Practice Telephone | 3232445677 |
| Practice Fax Number | 3239889672 |
| Mailing Telephone | 3232445677 |
| Mailing Fax Number | 3239889672 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-10-14 |
| Authorized Official Name | RONDA DIXON (EXECUTIVE DIRECTOR/POSITION) |
| Authorized Official Telephone | 3232445677 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | DIXON RECOVERY INSTITUTE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 190622AN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDI-CAL | 197336 | 01 |
| Other Name | Type Code |
|---|---|
| DRI/Animo Locke 3 Charter High School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265892079 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 1512 W Slauson Ave, Rms. 103, 202 & 210, Los Angeles, CA 90047-1230 | 2016-03-07 |
| 1780814640 | Dixon Recovery Institute, Inc. | Counselor | 4066 W 17th St, Module #1 & 2, Los Angeles, CA 90019-6025 | 2009-07-24 |
| 1013146778 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 7400 W Manchester Ave, Rms 1 & 2, Westchester, CA 90045-2322 | 2009-07-02 |
| 1548498280 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 3124 7th Avenue, Los Angeles, CA 90018-1819 | 2009-07-01 |
| 1689858672 | Dixon Recovery Institute, Inc. | Counselor | 4715 Crenshaw Blvd, 2nd Floor, Los Angeles, CA 90043-1233 | 2007-12-26 |
| 1235369745 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 325 E 111th St, Multi-purpose Room, Los Angeles, CA 90061-3003 | 2009-07-17 |
| 1104055862 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 1803 Crenshaw Blvd, Los Angeles, CA 90019-6039 | 2009-07-02 |
| Street Address |
325 E 111TH ST RMS. 241 & 327 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90061-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083893929 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 325 E 111th St, Los Angeles, CA 90061-3003 | 2007-10-29 |
| 1265751945 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 325 E 111th St, Los Angeles, CA 90061-3003 | 2010-05-20 |
| 1235369745 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 325 E 111th St, Multi-purpose Room, Los Angeles, CA 90061-3003 | 2009-07-17 |
| 1073772570 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 325 E 111th St, Los Angeles, CA 90061-3003 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235695974 | Phyllis Kirby Tisdale | Nurse Practitioner | 145 E 124th Street, Los Angeles, CA 90061 | 2019-02-19 |
| 1003160003 | Alicia Vera | Counselor | 245 E 120th Street, Los Angeles, CA 90061 | 2012-10-30 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1124202817 | David Anthony Martinez | Counselor | 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 | 2007-12-18 |
| 1255538690 | Ceed Security Services Inc | Durable Medical Equipment & Medical Supplies | 12815 South Avalon Blvd, Los Angeles, CA 90061 | 2007-06-29 |
| 1134335128 | Parklane Medical Group | Family Medicine | 12900 South Avalon Bl., Los Angeles, CA 90061 | 2007-05-15 |
| 1598892184 | Jose Rodriguez | Counselor | 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 | 2007-02-28 |
| 1316182975 | Luis Rabago | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061 | 2008-12-11 |
| 1619169406 | Emmanuel A Ayodele | General Practice | 11126 S Main St, Los Angeles, CA 90061 | 2007-08-15 |
| Find all providers in zip 90061 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90061 |
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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.