NPIMap

Organization Active NPI

Safe Refuge

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
National Provider Identifier
1104299312
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190077AHN Issued in CA
Legal business name
SAFE REFUGE
Practice address
3131 E 7TH St
Long Beach, CA 90804-4935
Phone
(562) 987-5722
Fax
(562) 987-4586
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Kathryn Romo
Title
Executive Director
Phone
(562) 987-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190077AHN CA Primary

Addresses

Primary practice location

3131 E 7TH St
Long Beach, CA 90804-4935

Mailing address

1041 Redondo Ave
Long Beach, CA 90804-3928
Phone (562) 987-5722

Other identifiers 1

IdentifierTypeStateIssuer
1989OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Substance Abuse Foundation of Long Beach Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Safe Refuge16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1104299312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043928",
            "telephone_number": "562-987-5722",
            "fax_number": "562-987-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044935",
            "telephone_number": "562-987-5722",
            "fax_number": "562-987-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE REFUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-987-5722"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190077AHN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "1989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Substance Abuse Foundation of Long Beach",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.