BRASWELL REHAB INST FOR DEV OF GROWTH & EDUCATIONAL SVCS INC (NPI# 1225161466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225161466 |
| Entity Type | Organization |
| Organization Name | BRASWELL REHAB INST FOR DEV OF GROWTH & EDUCATIONAL SVCS INC |
| Other Organization Name | HACIENDA RETIRADA BRIDGES INC |
| Practice Address |
8514 Topanga Canyon Blvd Canoga Park CA 91304 |
| Mailing Address |
279 E Arrow Hwy Suite 102 San Dimas CA 91773-3319 |
| Practice Telephone | 8189990143 |
| Practice Fax Number | 8187040967 |
| Mailing Telephone | 9096236651 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | LORI PENDROFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9096236651 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRASWELL REHABILITATION INSTITUTE FOR DEVELOPMENT OF GROWTH AND |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 197606724 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| BRIDGES, Inc. | Doing Business As Name - Organization |
| Hacienda Retirada Bridges Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952589384 | Braswell Rehab Inst for Dev of Growth & Educational Svcs Inc | Case Management | 11927 Elliot Ave, El Monte, CA 91732 | 2008-02-07 |
| 1881895415 | Braswell Rehab Inst for Dev of Growth & Educational Svcs Inc | Community/Behavioral Health | 279 E Arrow Hwy Ste 102, San Dimas, CA 91773 | 2007-05-30 |
| 1437283561 | Braswell Rehab Inst for Dev of Growth & Educational Svcs Inc | Community Based Residential Treatment Facility, Mental Illness | 11929 Elliott Ave, El Monte, CA 91732 | 2007-03-14 |
| 1346374477 | Braswell Rehab Inst for Dev of Growth & Educational Svcs Inc | Community Based Residential Treatment Facility, Mental Illness | 11931 Elliott Ave, El Monte, CA 91732 | 2007-03-14 |
| 1275762841 | Braswell Rehab Inst for Dev of Growth & Educational Svcs Inc | Community/Behavioral Health | 20501 Ventura Blvd, Ste 170, 180, Woodland Hills, CA 91364-2337 | 2009-07-05 |
| Street Address |
8514 TOPANGA CANYON BLVD |
| City | CANOGA PARK |
| State | CA |
| Zip Code | 91304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295991644 | Anthony Ford | Counselor | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2008-08-05 |
| 1467911248 | Kelly Petrula | Case Manager/Care Coordinator | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2019-03-19 |
| 1528524527 | Michael Morales | Case Manager/Care Coordinator | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2019-02-14 |
| 1962862763 | Joanna Cervantes | Counselor | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2016-03-07 |
| 1881012938 | Guillermo Perez | Counselor | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2014-04-04 |
| 1043594732 | Richard Darling | Case Manager/Care Coordinator | 8514 Topanga Canyon Blvd, Canoga Park, CA 91304-2348 | 2011-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860861 | A Plus Rainbow Hospice, Inc. | Hospice Care, Community Based | 8374 Topanga Canyon Blvd Suite 207, Canoga Park, CA 91304 | 2020-08-01 |
| 1447874516 | California Care Wellness Medical Center Inc. | Internal Medicine | 8374 Topanga Canyon Blvd Ste 210, Canoga Park, CA 91304 | 2020-06-03 |
| 1871129288 | Trusted Home Health Care Services | Home Health | 8374 Topanga Blvd, Unit 211, Canoga Park, CA 91304 | 2020-03-17 |
| 1356822951 | Rebecca Richmond | Nurse Practitioner | 8900 De Soto Ave, Canoga Park, CA 91304 | 2018-08-22 |
| 1225553142 | Safety Med Transport Inc. | Non-emergency Medical Transport (VAN) | 8374 Topanga Canyon Blvd Unit 211, Canoga Park, CA 91304 | 2017-08-11 |
| 1487014262 | American Unique Staff Provider | Home Health | 8761 De Soto Ave, Suite 127, Canoga Park, CA 91304 | 2016-03-07 |
| 1013376532 | Salia Ashtiani | Behavioral Analyst | 7624 Royer Avenue, West Hills, CA 91304 | 2016-02-11 |
| 1598156119 | Rita M. Antolin Dds A Professional Corporation | Health Maintenance Organization | 21301a Saticoy Street, Canoga Park, CA 91304 | 2015-02-18 |
| 1609290188 | Jennifer Gonzales Asuncion | Physical Therapist | 8306 Kentland Ave., West Hills, CA 91304 | 2014-02-05 |
| 1174873897 | Norman Carabet | General Practice | 7730 Graystone Dr, West Hills, CA 91304 | 2012-09-11 |
| Find all providers in zip 91304 | ||||
| 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 |
|---|---|---|---|---|
| 1831314251 | Topanga Roscoe Corporation | Community Based Residential Treatment Facility, Mental Illness | 22115 Roscoe Blvd, Canoga Park, CA 91304-3839 | 2007-04-13 |
| 1164814349 | El Centro De Amistad | Community Based Residential Treatment Facility, Mental Illness | 7038 Owensmouth Ave, Canoga Park, CA 91303-3198 | 2015-02-25 |
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|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | CANOGA PARK |
| Zip Code | 91304 |
Please comment or provide details below to improve the information on BRASWELL REHAB INST FOR DEV OF GROWTH & EDUCATIONAL SVCS INC.
| 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.