NPIMap

Organization Active NPI

Bridges to Recovery Iiii

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1093152076
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHBS130185 Issued in CA
Legal business name
BRIDGES TO RECOVERY IIII
Practice address
10201 Charing Cross Rd
Los Angeles, CA 90024-1814
Phone
(310) 459-0613
Fax
(310) 573-7092
NPI assigned
May 30, 2013
Organization subpart
Yes
Parent organization
BRIDGES TO RECOVER II, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Mr. Frederik Vilhelm Schulin
Title
Administrator
Phone
(310) 459-0613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHBS130185 CA Primary

Addresses

Primary practice location

10201 Charing Cross Rd
Los Angeles, CA 90024-1814

Mailing address

PO Box 1493
Pacific Palisades, CA 90272-1493
Phone (310) 459-0613

National Provider Directory

National Provider Directory
Tax ID family
Bridges to Recovery II LLC3 organizations share this tax ID, including this one
Part of
Bridges to Recovery II LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1093152076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1493",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721493",
            "telephone_number": "310-459-0613",
            "fax_number": "310-573-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 CHARING CROSS RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900241814",
            "telephone_number": "310-459-0613",
            "fax_number": "310-573-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO RECOVERY IIII",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGES TO RECOVER II, LLC",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "SCHULIN",
        "authorized_official_first_name": "FREDERIK",
        "authorized_official_middle_name": "VILHELM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-459-0613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "MHBS130185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.