Organization Active NPI

Breathe Weho Treatment Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1124457858
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
190788AP Issued in CA
Legal business name
BREATHE WEHO TREATMENT SERVICES
Practice address
8060 Melrose Ave FL 3
Los Angeles, CA 90046-7039
Phone
(800) 929-5904
Fax
(855) 275-5428
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Jean Ann Dockery
Title
Director of Revenue Cycle Managemen
Phone
(800) 929-5904

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 190788AP CA Primary

Addresses

Primary practice location

8060 Melrose Ave FL 3
Los Angeles, CA 90046-7039

Mailing address

8060 Melrose Ave FL 3
Los Angeles, CA 90046-7039
Phone (800) 929-5904

Other names 1

  • Breathe Life Healing Centers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blhc@breathelhc.org Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2069314Breathe Weho Treatment Services LLC8060 Melrose Ave, Los Angeles, CA 90046Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Breathe Life Healing Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8730 W Sunset Blvd
West Hollywood, CA 90069
Phone (323) 213-9263

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1124457858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 MELROSE AVE FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467039",
            "telephone_number": "800-929-5904",
            "fax_number": "855-275-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MELROSE AVE FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467039",
            "telephone_number": "800-929-5904",
            "fax_number": "855-275-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE WEHO TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "800-929-5904"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190788AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blhc@breathelhc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "8060 Melrose Ave Fl 3",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900467039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Breathe Life Healing Centers",
            "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 Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.