WINGS OF REFUGE,INC. (NPI# 1386940211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386940211 |
| Entity Type | Organization |
| Organization Name | WINGS OF REFUGE,INC. |
| Other Organization Name | WINGS OF RECOVERY-NUEVA VISTA HIGHSCHOOL |
| Practice Address |
904 Willow Ave Room 2 La Puente CA 91746-1615 |
| Mailing Address |
5777 W Century Blvd Suite 910 Los Angeles CA 90045-5600 |
| Practice Telephone | 3106706767 |
| Practice Fax Number | 3106702626 |
| Mailing Telephone | 3106706767 |
| Mailing Fax Number | 3106702626 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | RENEE MONCITO (PRESIDENT & CEO) |
| Authorized Official Telephone | 3106706767 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Wings of Recovery-Nueva Vista Highschool | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600553 | Wings of Refuge,inc. | Exclusive Provider Organization | 2516 W 54th St, Los Angeles, CA 90043-2613 | 2011-03-22 |
| 1689973281 | Wings of Refuge,inc. | Exclusive Provider Organization | 5777 W Century Blvd, Suite 910, Los Angeles, CA 90045-5600 | 2011-03-22 |
| Street Address |
904 WILLOW AVE ROOM 2 |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91746-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790801553 | Bassett Unified School District | Local Education Agency (LEA) | 904 Willow Ave, La Puente, CA 91746-1615 | 2007-03-22 |
| 1528292356 | Renew Integrated Program #2 | Counselor | 904 Willow Ave, La Puente, CA 91746-1615 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
| 1013428804 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13139 Don Julian Rd., La Puente, CA 91746 | 2017-10-19 |
| 1982733689 | Fenghua Fu D.d.s., A Professional Corporation | Dentist | 13704 Amar Rd, La Puente, CA 91746 | 2007-03-06 |
| 1306989942 | Kira Kristine Au | Specialist/Technologist | 14301 Fairgrove Ave, La Puente, CA 91746 | 2007-02-14 |
| 1609978055 | Los Angeles Dental Office | Dentist | 13704 E Anar Rd, La Puente, CA 91746 | 2006-09-05 |
| 1639140346 | Professional Nurses Group, Inc. | Homemaker | 13181 Crossroads Pkwy N Ste 322, City of Industry, CA 91746 | 2006-01-30 |
| 1952888331 | Joshua Rios | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2018-07-27 |
| 1447709175 | Evelyn Chavez | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2016-09-22 |
| 1295102861 | Leticia Miramontes Pelayo I | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2015-08-30 |
| 1619369196 | Samantha Valle | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2015-02-20 |
| Find all providers in zip 91746 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720385883 | Wings of Refuge, Inc. | Exclusive Provider Organization | 14135 Fairgrove Ave, La Puente, CA 91746-1708 | 2011-02-24 |
| 1013213933 | Wings of Refuge, Inc. | Exclusive Provider Organization | 751 Vineland Ave, La Puente, CA 91746-1914 | 2011-02-10 |
| 1922304856 | Wings of Refuge, Inc. | Exclusive Provider Organization | 755 Ardilla Ave, Room A102, La Puente, CA 91746-2163 | 2011-02-10 |
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| 1023589249 | Janie Isabelle Currey | Exclusive Provider Organization | 30183 Cove View St, Canyon Lake, CA 92587-7981 | 2018-12-16 |
| 1922586114 | Primary Care Associates of California of San Diego, Inc. | Exclusive Provider Organization | 10833 Valley View St Ste 570, Cypress, CA 90630-5061 | 2018-07-31 |
| 1962949057 | Sol Play Child Therapy Inc | Exclusive Provider Organization | 5811 Amaya Dr Ste 204, La Mesa, CA 91942-4156 | 2017-01-26 |
| 1841735511 | E.moawad Dental Corporation | Exclusive Provider Organization | 402 S Long Beach Blvd, Compton, CA 90221-3428 | 2017-01-04 |
| 1538512744 | Azila Katherine Sabile Ortiz | Exclusive Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-07-22 |
| 1730534330 | Northern California Physicians Network Inc | Exclusive Provider Organization | 2331 Montpelier Dr, San Jose, CA 95116-1688 | 2016-05-02 |
| Find all providers with the same taxonomy | ||||
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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.