PHOENIX HOUSES OF LOS ANGELES, INC. (NPI# 1437205408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437205408 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF LOS ANGELES, INC. |
| Practice Address |
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601 |
| Mailing Address |
11600 Eldridge Ave Lake View Terrace CA 91342-6506 |
| Practice Telephone | 5629418042 |
| Practice Fax Number | 5629416592 |
| Mailing Telephone | 8186863000 |
| Mailing Fax Number | 8188964859 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WINIFRED B. WECHSLER (SR. VICE PRES., REGIONAL DIRECTOR) |
| Authorized Official Telephone | 8186863000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190232BN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809735 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2007-01-23 |
| 1235283722 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2007-01-22 |
| 1427594639 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2017-01-11 |
| Street Address |
11015 BLOOMFIELD AVE |
| City | SANTA FE SPRINGS |
| State | CA |
| Zip Code | 90670-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050244 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2005-08-11 |
| 1720689300 | Gabriela De Jesus | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-11-02 |
| 1477150217 | Sherrina Barnes | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-10-05 |
| 1477169456 | Garrett Silva | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-16 |
| 1083229702 | Michelle Robles | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1497360101 | Laura Robles-duarte | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1487269106 | Jazmin Heredia | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1003421728 | Elvia Macias | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1649885369 | Jennifer Rios | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1467067181 | Vanessa Wilson | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
| 1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
| 1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
| 1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
| 1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
| 1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
| 1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
| 1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
| 1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
| 1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
| Find all providers in zip 90670 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922467265 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 10425 Painter Ave, Santa Fe Springs, CA 90670-3429 | 2016-02-15 |
| 1588931463 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 11121 Bloomfield Ave, Santa Fe Springs, CA 90670-4655 | 2011-11-21 |
| 1427050244 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2005-08-11 |
| 1477885382 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2010-02-02 |
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|---|---|---|---|---|
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| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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| City | SANTA FE SPRINGS |
| Zip Code | 90670 |
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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.