Covenant House California in Los Angeles - Community Based Residential Treatment Facility, Mental Illness
Covenant House California - NPI 1518169325
Covenant House California is a Community Based Residential Treatment Facility, Mental Illness in Los Angeles, California. Covenant House California practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Covenant House California is 1518169325. The last update date is 2017-01-30.
Covenant House California's current location address is 1325 N Western Ave, Los Angeles, California. You can contact this provider via phone number 3234613131 and fax number 3239576491. The mailing address for Covenant House California is 1325 N Western Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant House California |
|---|---|
| Address | 1325 N Western Ave, Los Angeles, California |
| Phone Number | 3234613131 |
| Fax Number | 3239576491 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bedrossian Bill |
| Credentials | MSW |
| Telephone Number | 3234613131 |
NPI Number Detail
| NPI Number | 1518169325 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 1325 N Western Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900275615 |
| Phone Number | 3234613131 |
| Fax Number | 3239576491 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identifier code issued to Covenant House California by the Centers for Medicare & Medicaid Services?
The Covenant House California has been assigned the NPI (National Provider Identifier) 1518169325 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Covenant House California's physical address?
The Covenant House California is physically located at 1325 N Western Ave, in the city of Los Angeles, CA, with the postal code 900275615.
What is Covenant House California's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Covenant House California's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did Covenant House California receive its 1518169325 assignment from the Centers for Medicare & Medicaid Services?
The Covenant House California was assigned its 1518169325 on 2007-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Covenant House California most recently updated or revised?
The information pertaining to Covenant House California, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-30.
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