BHC ALHAMBA HOSPITAL (NPI# 1558804351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558804351 |
| Entity Type | Organization |
| Organization Name | BHC ALHAMBA HOSPITAL |
| Practice Address |
115 N. Mccadden Place Los Angeles CA 90004 |
| Mailing Address |
4619 N. Rosemead Blvd Rosemead CA 91770 |
| Practice Telephone | 6262861191 |
| Mailing Telephone | 6262861191 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | BRETT GRAVES (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 6262861191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 550003674 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSM34032G | 05 | |
| CA | MEDICARE | 054032 | 01 |
| Street Address |
115 N. MCCADDEN PLACE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| 1407297765 | Perri Cohen Sun | Social Worker | 321 N. Larchmont Blvd., Suite 622, Los Angeles, CA 90004 | 2013-07-15 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765530 | Bel Air Health Services Inc. | Psychiatric Residential Treatment Facility | 11240 Chalon Rd, Los Angeles, CA 90049-1719 | 2019-11-20 |
| 1770026544 | Optimist Boys' Home and Ranch, Inc. | Psychiatric Residential Treatment Facility | 1635 Silver Oak Ter, Los Angeles, CA 90041-3121 | 2016-11-29 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| 1609279983 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 12121 Wilshire Boulevard, Suite 601, Los Angeles, CA 90025 | 2014-10-01 |
| 1457543894 | Mearle David Lewis | Psychiatric Residential Treatment Facility | 115 Barrington Walk, Los Angeles, CA 90049-2931 | 2007-08-09 |
| 1497884613 | Gateways Community Mhc | Psychiatric Residential Treatment Facility | 433 N Hoover St, Los Angeles, CA 90004-2306 | 2007-03-05 |
| 1215066436 | Gateways Percy Village | Psychiatric Residential Treatment Facility | 3455 Percy Street, Los Angeles, CA 90023 | 2007-03-05 |
| 1821625138 | Asc Treatment Group | Psychiatric Residential Treatment Facility | 2457 Endicott St, Los Angeles, CA 90032-3098 | 2020-03-25 |
| 1790228898 | Optimist Boys' Home & Ranch, Inc. | Psychiatric Residential Treatment Facility | 6957 N Figueroa St, Los Angeles, CA 90042-1245 | 2016-11-22 |
| 1730592643 | Evolve Growth Initiatives LLC | Psychiatric Residential Treatment Facility | 820 Moraga Dr, Los Angeles, CA 90049-1632 | 2014-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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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.