BERNIE'S LIL WOMEN CENTER INC (NPI# 1891810560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891810560 |
| Entity Type | Organization |
| Organization Name | BERNIE'S LIL WOMEN CENTER INC |
| Practice Address |
11905 S Central Ave Suite 205 Los Angeles CA 90059-2836 |
| Mailing Address |
942 E 116th St Los Angeles CA 90059-1602 |
| Practice Telephone | 3232499026 |
| Practice Fax Number | 3235637087 |
| Mailing Telephone | 2132801012 |
| Mailing Fax Number | 3235637087 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BERNADINE GOUDEAU (CEO) |
| Authorized Official Telephone | 2132801012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190472BN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399043 | Bernie's Lil Women Center Inc | Clinic/Center | 1115 E Alondra Blvd, Compton, CA 90221 | 2009-07-17 |
| 1437391422 | Bernie's Lil Women Center Inc | Clinic/Center | 12501 S Wilmington Ave, Compton, CA 90222-1220 | 2009-04-06 |
| 1609018696 | Bernie's Lil Women Center Inc | Clinic/Center | 12501 S Wilmington Ave, Compton, CA 90222-1220 | 2009-04-06 |
| 1346482338 | Bernie's Lil Women Center Inc | Clinic/Center | 12501 S Wilmington Ave, Compton, CA 90222-1220 | 2009-04-06 |
| Street Address |
11905 S CENTRAL AVE SUITE 205 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792218 | Cheryl Diane Bingham | Dentist | 11905 S Central Ave, #203, Los Angeles, CA 90059-2836 | 2006-03-07 |
| 1013455179 | Toni Wright | Rehabilitation Practitioner | 11905 S Central Ave, Los Angeles, CA 90059-2897 | 2017-02-08 |
| 1467873265 | Sunkwa Community Foundation | General Practice | 11905 S Central Ave, Suite 100, Los Angeles, CA 90059-2897 | 2013-12-20 |
| 1346672458 | Maria Razo | Counselor | 11905 S Central Ave, Suite 200/206, Los Angeles, CA 90059-2897 | 2013-07-31 |
| 1033556923 | Dennis Smith | Counselor | 11905 S Central Ave, Ste 204-205, Los Angeles, CA 90059-2897 | 2013-05-31 |
| 1881948909 | Damon Beverly | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1497009518 | Patrick Bell | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1700130820 | Manuel Lopez | Counselor | 11905 S Central Ave, Suite 200,204,205,206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1306197033 | Sunkwa African Art and Craft | Clinic/Center | 11905 S Central Ave, Ste. 100, Los Angeles, CA 90059-2897 | 2012-09-20 |
| 1689940983 | Martha Godinez | Counselor | 11905 S Central Ave, Suite 205, Los Angeles, CA 90059-2897 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| 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 | 90059 |
Please comment or provide details below to improve the information on BERNIE'S LIL WOMEN CENTER INC.
| 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.