MINDFUL GROWTH FOUNDATION
MINDFUL GROWTH FOUNDATION #2 · Community Based Residential Treatment Facility, Mental Illness

Address: 1811 W 41st Dr, Los Angeles, CA 90062-1517

MINDFUL GROWTH FOUNDATION (NPI# 1952989923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952989923
Entity Type Organization
Organization Name MINDFUL GROWTH FOUNDATION
Other Organization Name MINDFUL GROWTH FOUNDATION #2 (Doing Business As Name)
Practice Address 1811 W 41st Dr
Los Angeles
CA 90062-1517
Practice Telephone 3233484615
Practice Fax Number 3239834212
Mailing Address 1811 W 41st Dr
Los Angeles
CA 90062-1517
Mailing Telephone 3233484615
Mailing Fax Number 3239834212
Certification Date 2021-04-14
Enumeration Date 2021-03-31
Last Update Date 2021-04-14
Authorized Official Telephone 3235909813
Authorized Official Credential MSW/MPH
Is Organization Subpart Y
Parent Organization Name MINDFUL GROWTH FOUNDATION

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Mindful Growth Foundation Former Legal Business Name
Mindful Growth Foundation #2 Doing Business As Name

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1023578705 Mindful Growth Foundation · Mindful Growth Foundation #2 Community Based Residential Treatment Facility, Mental Illness 1208 W 38th St, Los Angeles, CA 90037-1106 2019-03-20
1114491636 Mindful Growth Foundation · Mindful Growth Foundation #1 Community Based Residential Treatment Facility, Mental Illness 3924 W Adams Blvd, Los Angeles, CA 90018-1755 2019-01-17
1396364212 Mindful Growth Foundation Community Based Residential Treatment Facility, Mental Illness 3924 W Adams Blvd, Los Angeles, CA 90018-1755 2020-04-10

Office Location

Street Address 1811 W 41ST DR
City LOS ANGELES
State CA
Zip Code 90062-1517

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1386298867 Prompt Healthcare, Inc., A Medical Corporation Family Medicine 1972 West 48th Street, #a, Los Angeles, CA 90062 2019-08-01
1083194773 Day One Detox Center, Inc Substance Abuse Rehabilitation Facility 1421 W 46th St, Los Angeles, CA 90062 2018-08-21
1639680259 The Dream Catcher Foundation, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1762 W 42nd St, Los Angeles, CA 90062 2017-10-23
1033625298 Kaitlyn Melissa Crawford Speech-Language Pathologist 1844 W 38th Pl, Los Angeles, CA 90062-1009 2017-12-22
1861905507 Scott Purvis Counselor - Addiction (Substance Use Disorder) 1828 W 38th St, Los Angeles, CA 90062-1018 2017-11-15
1891388948 Carmen Flores Nurse Practitioner - Family 1877 W 38th St, Los Angeles, CA 90062-1019 2021-02-18
1689203093 Farooque Azam · Farooque Azam Nurse Practitioner - Psych/Mental Health 1654 Middleton Pl, Los Angeles, CA 90062-1033 2020-04-07
1023509346 Gregory C Owens Marriage & Family Therapist 1747 W 39th St, Los Angeles, CA 90062-1057 2018-05-22
1003399502 Elena Lopez Ybarra Case Manager/Care Coordinator 3879 S Western Ave, Los Angeles, CA 90062-1105 2018-09-11
1295326296 Ruth Sie Acupuncturist 1906 W 41st St, Los Angeles, CA 90062-1414 2021-02-01
Find all providers in zip 90062

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386283984 Aptus Pacem, LLC Community Based Residential Treatment Facility, Mental Illness 5035 E Echo St, Los Angeles, CA 90042-3915 2019-12-30
1023578705 Mindful Growth Foundation · Mindful Growth Foundation #2 Community Based Residential Treatment Facility, Mental Illness 1208 W 38th St, Los Angeles, CA 90037-1106 2019-03-20
1114491636 Mindful Growth Foundation · Mindful Growth Foundation #1 Community Based Residential Treatment Facility, Mental Illness 3924 W Adams Blvd, Los Angeles, CA 90018-1755 2019-01-17
1467963256 Special Service for Groups, Inc. · Crtp Ssg Florence House Community Based Residential Treatment Facility, Mental Illness 2178 Firestone Blvd, Los Angeles, CA 90002 2017-10-19
1184169815 Exodus Recovery, Inc. Community Based Residential Treatment Facility, Mental Illness 3754-56 Overland Ave, Los Angeles, CA 90034-6312 2017-01-04
1205262748 Reese's Board and Care Home Community Based Residential Treatment Facility, Mental Illness 11205 Monitor Ave, Los Angeles, CA 90059-1935 2013-09-16
1093152076 Bridges To Recovery IIii Community Based Residential Treatment Facility, Mental Illness 10201 Charing Cross Rd, Los Angeles, CA 90024-1814 2013-05-30
1104199033 Adrienne James Community Based Residential Treatment Facility, Mental Illness 3776 S Gramercy Pl, One Half, Los Angeles, CA 90018-4377 2012-02-23
1144593518 Dmhlac Eob Pmrt Sa5 Community Based Residential Treatment Facility, Mental Illness 11303 W, Olympic Boulevard, Los Angeles, CA 90066 2012-02-16
1396014544 Bridges To Recovery IIi Community Based Residential Treatment Facility, Mental Illness 777 Sarbonne Rd, Los Angeles, CA 90077-3320 2011-12-16
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90062

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Dataset Information

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.

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