SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM


Address: 2620 Industry Way, Suite C, Lynwood, CA 90262-4024
Phone: 3106274566

SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM (NPI# 1326177379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326177379
Entity Type Organization
Organization Name SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Other Organization Name SCHARP-COMPTON
Practice Address 2620 Industry Way
Suite C
Lynwood
CA 90262-4024
Mailing Address 2610 Industry Way
Suite A
Lynwood
CA 90262-4028
Practice Telephone 3106274566
Practice Fax Number 3106274029
Mailing Telephone 3106318004
Mailing Fax Number 3106317830
Enumeration Date 2007-03-05
Last Update Date 2019-07-29
Authorized Official Name JACK BARBOUR (CEO/PRESIDENT)
Authorized Official Telephone 3106318004
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA PROVIDER NUMBER 7303 01

Other Provider/Organization Names

Other Name Type Code
SCHARP-COMPTON Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356470397 Southern California Health & Rehabilitation Program Community/Behavioral Health 3741 Stocker St, Suite 207, Los Angeles, CA 90008-5109 2007-03-05
1083743082 Southern California Health & Rehabilitation Program Community/Behavioral Health 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 2007-03-05
1902178338 Southern California Health & Rehabilitation Program Community/Behavioral Health 3591 E Imperial Hwy, Lynwood, CA 90262-2684 2012-02-01
1659642908 Southern California Health & Rehabilitation Program Community/Behavioral Health 14371 Clark Ave, Bellflower, CA 90706-2901 2012-01-18
1467775221 Southern California Health & Rehabilitation Program Community/Behavioral Health 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 2010-03-09
1730208901 Southern California Health & Rehabilitation Program Community/Behavioral Health 3320 W Adams Blvd, Educational Bldg., Los Angeles, CA 90018-1838 2007-03-28
1689793739 Southern California Health & Rehabilitation Program Community/Behavioral Health 2594 Industry Way, Lynwood, CA 90262-4015 2007-03-28
1023147840 Southern California Health & Rehabilitation Program Community/Behavioral Health 2010 E El Segundo Blvd, Compton, CA 90222-7109 2007-03-05
1861521841 Southern California Health & Rehabilitation Program Community/Behavioral Health 5201 S Vermont Ave, Los Angeles, CA 90037 2007-03-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM 2610 Industry Way Ste A, Lynwood, CA 90262-4028

Office Location

Street Address 2620 INDUSTRY WAY
SUITE C
City LYNWOOD
State CA
Zip Code 90262-4024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538295449 Yesenia Maria Carmona Counselor 2620 Industry Way, Lynwood, CA 90262 2007-02-26
1467063800 Douglas Alberto Alvarado Counselor 2620 Industry Way, Lynwood, CA 90262-4024 2020-08-10
1740899137 Gabriela Merida Counselor 2620 Industry Way, Lynwood, CA 90262-4024 2020-07-30
1215559901 Chelsea Alexandria Staine Case Manager/Care Coordinator 2620 Industry Way, Lynwood, CA 90262-4024 2020-05-15
1215569835 Semaj Newton Case Manager/Care Coordinator 2620 Industry Way, Lynwood, CA 90262-4024 2020-02-11
1952931602 Monica Richeryl Bentley Case Manager/Care Coordinator 2620 Industry Way, Lynwood, CA 90262-4024 2020-01-22
1285264291 Cynthia Leticia Ceballos Counselor 2620 Industry Way, Lynwood, CA 90262-4024 2020-01-17
1396384699 Samantha Lomeli Case Manager/Care Coordinator 2620 Industry Way, Lynwood, CA 90262-4024 2020-01-03
1558900332 Caitlin Crystal Osagie Case Manager/Care Coordinator 2620 Industry Way, Lynwood, CA 90262-4024 2019-12-27
1538707138 Kaylee Kruzan Student in an Organized Health Care Education/Training Program 2620 Industry Way, Lynwood, CA 90262-4024 2019-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811546062 Sheila Maxine Wilkins Technician 3940 Palm Ave, Lynwood, CA 90262 2019-09-10
1891344669 Chezoma Latissue Davis Technician 4255 Niland St, Lynwood, CA 90262 2019-09-05
1295223345 Scla Comprehensive Surgical Medical Group, Inc. Clinic/Center 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 2018-04-24
1891213807 Grecia Veronica Nunez Case Manager/Care Coordinator 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 2017-08-30
1134643448 Angelica Jazmin Alonso Cortes Case Manager/Care Coordinator 2610 Industry Way Suite A, Lynwood, CA 90262 2017-07-28
1134594997 Corinne Palma Counselor 11705 S. Alameda St., Lynwood, CA 90262 2015-12-04
1891175550 Nancy Bremmer Counselor 10705 S. Alameda Street, Los Angels, CA 90262 2015-06-08
1588041347 Jennifer Montoya Case Management 5433 E. Pelleur St., Lynwood, CA 90262 2015-04-30
1124440060 Susana Gyek Goy Chiropractor 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 2014-01-13
1215368956 Baart Community Healthcare Clinic/Center 11315 S. Atlantic Blvd., Lynwood, CA 90262 2013-12-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578990644 His Gifts Inc Community/Behavioral Health 12204 South San Pedro Street Los Angeles, Ca 90061, 10910 Long Beach Blvd Suite 103, Lynwood, CA 90262 2013-10-03
1578800280 Shields for Families Community/Behavioral Health 11705 Deputy Yamamoto Pl Ste A, Lynwood, CA 90262-4031 2013-01-15
1437404340 Atlantic Recovery Services Community/Behavioral Health 11387 Bullis Rd, Lynwood, CA 90262-3660 2012-07-17
1972864858 Children's Institute, Inc Community/Behavioral Health 2610 Industry Way Blvd., Suite C, Lynwood, CA 90262-4283 2012-06-06
1073809687 Atlantic Recovery Services Community/Behavioral Health 3898 Abbott Rd, Lynwood, CA 90262-2106 2011-06-22
1902192511 Atlantic Recovery Services Community/Behavioral Health 11300 Spruce St, Lynwood, CA 90262-3629 2011-06-22
1386930089 Atlantic Recovery Services Community/Behavioral Health 11300 Wright Rd, Lynwood, CA 90262-3126 2011-06-22
1326334939 Atlantic Recovery Services Community/Behavioral Health 4050 E Imperial Hwy, Lynwood, CA 90262-2853 2011-06-22
1093009037 Atlantic Recovery Services Community/Behavioral Health 5246 Martin Luther King Jr Blvd, Lynwood, CA 90262-3903 2011-06-07
1376778860 Shields for Families Community/Behavioral Health 2620 Industry Way Ste E-f, Lynwood, CA 90262-4024 2009-05-27
Find all providers in LYNWOOD

Competitor

Search similar providers

City LYNWOOD
Zip Code 90262

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Dataset Information

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.

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