PASSAGES BEVERLYWOOD LLC (NPI# 1962867804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962867804 |
| Entity Type | Organization |
| Organization Name | PASSAGES BEVERLYWOOD LLC |
| Practice Address |
2370 S Robertson Blvd Los Angeles CA 90034-2029 |
| Mailing Address |
6428 Meadows Ct Malibu CA 90265-4492 |
| Practice Telephone | 3105892880 |
| Practice Fax Number | 3105892858 |
| Mailing Telephone | 3105892880 |
| Mailing Fax Number | 3105892858 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |
| Authorized Official Name | MR. PAX PRENTISS (CEO) |
| Authorized Official Telephone | 3105892880 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRASSHOPPER HOUSE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
2370 S ROBERTSON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1568989119 | Temenos | Clinic/Center | 8730 Venice Blvd, Los Angeles, CA 90034-3217 | 2017-08-24 |
| 1679094031 | Trc Treatment Center LLC | Clinic/Center | 11150 W Olympic Blvd Ste 775, Los Angeles, CA 90064-1850 | 2017-07-06 |
| 1053861328 | People Coordinated Services of Southern California, Inc. | Clinic/Center | 3021 S Vermont Ave, Los Angeles, CA 90007-3033 | 2016-10-10 |
| 1922451574 | Chabad of California | Clinic/Center | 1750 S La Cienega Blvd, Los Angeles, CA 90035-4602 | 2016-07-19 |
| 1285095596 | Jaz Capital Investments LLC | Clinic/Center | 7966 Beverly Blvd Ste 102, Los Angeles, CA 90048-4511 | 2016-03-14 |
| 1164881280 | Silicon Beach Outpatient Center, LLC | Clinic/Center | 8939 S Sepulveda Blvd Ste 414, Los Angeles, CA 90045-3646 | 2016-02-17 |
| 1568827418 | The Haven At College | Clinic/Center | 817 W 34th St, 4th Floor, Los Angeles, CA 90089-0042 | 2015-12-19 |
| 1790156057 | Blvd Centers, Inc. | Clinic/Center | 1608 Sawtelle Blvd, Los Angeles, CA 90025-3114 | 2015-10-13 |
| 1013383314 | Help Center, Inc | Clinic/Center | 3710 W Martin Luther King Jr Blvd, Suite 133, Los Angeles, CA 90008-1793 | 2015-08-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
Please comment or provide details below to improve the information on PASSAGES BEVERLYWOOD LLC.
| 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.