SHIELDS FOR FAMILIES (NPI# 1477759603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477759603 |
| Entity Type | Organization |
| Organization Name | SHIELDS FOR FAMILIES |
| Practice Address |
801 W 70th St Los Angeles CA 90044-5218 |
| Mailing Address |
11601 S Western Ave Los Angeles CA 90047-5006 |
| Practice Telephone | 3232425000 |
| Practice Fax Number | 3232425011 |
| Mailing Telephone | 3232425000 |
| Mailing Fax Number | 3232425011 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-04-03 |
| NPI Deactivation Date | 07/12/2019 |
| NPI Reactivation Date | 2020-04-03 |
| Authorized Official Name | LOUIS JACINTO (DIRECTOR OF CONTRACTS) |
| Authorized Official Telephone | 3232425000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BEHAVIORAL HEALTH | 7737 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578800280 | Shields for Families | Community/Behavioral Health | 11705 Deputy Yamamoto Pl Ste A, Lynwood, CA 90262-4031 | 2013-01-15 |
| 1376778860 | Shields for Families | Community/Behavioral Health | 2620 Industry Way Ste E-f, Lynwood, CA 90262-4024 | 2009-05-27 |
| 1003041591 | Shields for Families | Community/Behavioral Health | 2620 Industry Way Ste A, F, Lynwood, CA 90262-4042 | 2009-05-27 |
| 1558492454 | Shields for Families | Social Worker | 12714 Avalon Blvd Ste 109, Los Angeles, CA 90061-2730 | 2007-03-09 |
| 1003948837 | Shields for Families | Case Management | 12021 S. Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2007-03-09 |
| 1407987480 | Shields for Families | Case Management | 105 W Victoria St # 106, Long Beach, CA 90805-2162 | 2007-03-08 |
| 1437695566 | Shields for Families | Community/Behavioral Health | 3584 Martin Luther King Jr Blvd, Lynwood, CA 90262-2050 | 2017-01-12 |
| 1871941443 | Shields for Families | Community/Behavioral Health | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-24 |
| 1326468836 | Shields for Families | Community/Behavioral Health | 11705 Deputy Yamamoto Pl Ste B, Lynwood, CA 90262-4031 | 2014-04-23 |
| 1962832931 | Shields for Families | Substance Abuse Rehabilitation Facility | 801 W 70th St, Los Angeles, CA 90044-5218 | 2013-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHIELDS FOR FAMILIES | 11601 S Western Ave, Los Angeles, CA 90047-5006 |
| Street Address |
801 W 70TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90044-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879578 | James Scott IIi | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-10-21 |
| 1790390193 | George Alexander | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-09-11 |
| 1538789227 | Ronnie Pitre | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-04-22 |
| 1609402999 | Brian Cruz | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-03-18 |
| 1326670944 | Devon Hurd | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1114559721 | Anita Smith | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1053943621 | Damion Wiseman | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1992337513 | Khylia Henderson | Case Manager/Care Coordinator | 801 W 70th St, Los Angeles, CA 90044-5218 | 2020-02-11 |
| 1821630559 | Tasha Collins | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2019-10-15 |
| 1457993693 | Betty Johnson | Counselor | 801 W 70th St, Los Angeles, CA 90044-5218 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
| 1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
| 1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
| 1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
| 1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
| 1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
| 1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
| 1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
| 1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
| 1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
| Find all providers in zip 90044 | ||||
| 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 |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90044 |
Please comment or provide details below to improve the information on SHIELDS FOR FAMILIES.
| 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.