NPIMap

Organization Active NPI

Behavioral Health Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1104568526
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BEHAVIORAL HEALTH SERVICES, INC.
Practice address
12021 South Wilmington Ave., BLDG #18, Ste 101
Los Angeles, CA 90059-3046
Phone
(424) 454-6001
Fax
(833) 969-0055
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Michael Ballue, CADC-II, CHC
Title
Chief Compliance Officer
Phone
(310) 679-9126

Specialties & licenses 1

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

Addresses

Primary practice location

12021 South Wilmington Ave., BLDG #18, Ste 101
Los Angeles, CA 90059-3046

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126

Other names 1

  • BHS Respite & Recovery Center at MLK Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Services Incorporated41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1104568526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494525",
            "telephone_number": "310-679-9126",
            "fax_number": "310-679-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SOUTH WILMINGTON AVE., BLDG #18, STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593046",
            "telephone_number": "424-454-6001",
            "fax_number": "833-969-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "BALLUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_credential": "CADC-II, CHC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHS Respite & Recovery Center at MLK Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHS Respite & Recovery Center at MLK Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 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.

Verify at the official NPI Registry.