NPIMap

Organization Active NPI

Wings of Refuge, Inc.

Doing business as Wings of Recovery-Torch Middle School

  • Exclusive Provider Organization
  • La Puente, CA
National Provider Identifier
1013213933
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
WINGS OF REFUGE, INC.
Doing business as
Wings of Recovery-Torch Middle School
Practice address
751 Vineland Ave
La Puente, CA 91746-1914
Phone
(310) 670-6767
Fax
(310) 670-2626
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renee Moncito, PHD
Title
President & Ceo
Phone
(310) 670-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

751 Vineland Ave
La Puente, CA 91746-1914

Mailing address

5777 W Century Blvd
Suite 910
Los Angeles, CA 90045-5600
Phone (310) 670-6767

Other names 1

  • Wings of Recovery-Torch Middle School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wings of Refuge Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

5777 W Century Blvd
Ste 910
Los Angeles, CA 90045
Phone (310) 670-6767

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1013213933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W CENTURY BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455600",
            "telephone_number": "310-670-6767",
            "fax_number": "310-670-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 VINELAND AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461914",
            "telephone_number": "310-670-6767",
            "fax_number": "310-670-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF REFUGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "MONCITO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-670-6767",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings of Recovery-Torch Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.