REESE'S BOARD AND CARE HOME (NPI# 1205262748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205262748 |
| Entity Type | Organization |
| Organization Name | REESE'S BOARD AND CARE HOME |
| Practice Address |
11205 Monitor Ave Los Angeles CA 90059-1935 |
| Practice Telephone | 3235662421 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | HELEN MOORE (ADMINISTRATTOR) |
| Authorized Official Telephone | 3235662421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 191801299 | CA | Residential Treatment Facilities |
| Street Address |
11205 MONITOR AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-1935 |
| 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 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283984 | Aptus Pacem, LLC | Community Based Residential Treatment Facility, Mental Illness | 5035 E Echo St, Los Angeles, CA 90042-3915 | 2019-12-30 |
| 1023578705 | Mindful Growth Foundation | Community Based Residential Treatment Facility, Mental Illness | 1208 W 38th St, Los Angeles, CA 90037-1106 | 2019-03-20 |
| 1114491636 | Mindful Growth Foundation | Community Based Residential Treatment Facility, Mental Illness | 3924 W Adams Blvd, Los Angeles, CA 90018-1755 | 2019-01-17 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1184169815 | Exodus Recovery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3754-56 Overland Ave, Los Angeles, CA 90034-6312 | 2017-01-04 |
| 1093152076 | Bridges To Recovery IIii | Community Based Residential Treatment Facility, Mental Illness | 10201 Charing Cross Rd, Los Angeles, CA 90024-1814 | 2013-05-30 |
| 1104199033 | Adrienne James | Community Based Residential Treatment Facility, Mental Illness | 3776 S Gramercy Pl, One Half, Los Angeles, CA 90018-4377 | 2012-02-23 |
| 1144593518 | Dmhlac Eob Pmrt Sa5 | Community Based Residential Treatment Facility, Mental Illness | 11303 W, Olympic Boulevard, Los Angeles, CA 90066 | 2012-02-16 |
| 1396014544 | Bridges To Recovery IIi | Community Based Residential Treatment Facility, Mental Illness | 777 Sarbonne Rd, Los Angeles, CA 90077-3320 | 2011-12-16 |
| 1912225855 | South Central Residential Care #2 | Community Based Residential Treatment Facility, Mental Illness | 1551 W 80th St, Los Angeles, CA 90047-2839 | 2010-05-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on REESE'S BOARD AND CARE HOME.
| 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.