Active NPI
Lincoln Heights Treatment Center, LLC
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1073249967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LINCOLN HEIGHTS TREATMENT CENTER, LLC
- Practice address
- 3619 Mission North Road
Los Angeles, CA 90031 - Phone
- (213) 494-2487
- NPI assigned
- Jul 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela N McMahon, EDD
- Title
- Program Director
- Phone
- (213) 494-2487
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3619 Mission North Road
Los Angeles, CA 90031
Mailing address
3619 Mission North Road
Los Angeles, CA 90031
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln Heights Treatment Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1275219123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1073249967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3619 MISSION NORTH ROAD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 MISSION NORTH ROAD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90031",
"telephone_number": "213-494-2487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN HEIGHTS TREATMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "MCMAHON",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "213-494-2487",
"authorized_official_credential": "EDD"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Savanah Linares, RN
- Glenda Cruz Linchangco
- Linco Pharmacy, Inc.
- Lincoln Heights Dialysis Center, LLC
- Lincoln Heights Family and Industrial Medical Clinic
- Lincoln Heights Treatment Center, LLC
- Lincoln Heights Urgent Care
- Saul Victor Lincoln, MD
- Linda a Thompson, a Psychological Corporation
- Linda B. Chen, DDS (Smilemax Dental Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.