Active NPI
Transformations Care Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Gardena, CA
National Provider Identifier
1124691944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- TRANSFORMATIONS CARE INC
- Practice address
- 18726 S Western Ave Ste 209
Gardena, CA 90248-3813 - Phone
- (310) 946-8433
- NPI assigned
- Jul 20, 2021
- Organization subpart
- Yes
- Parent organization
- TRANSFORMATIONS CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Dillenback
- Title
- Ceo
- Phone
- (310) 946-8433
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
18726 S Western Ave Ste 209
Gardena, CA 90248-3813
Mailing address
18726 S Western Ave Ste 209
Gardena, CA 90248-3813
Phone (310) 946-8433
National Provider Directory
National Provider Directory- Tax ID family
- Transformations Care Inc
- Part of
- Transformations Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Gardena, CA
- NPI 1134774086
Locations
18726 S Western Ave
Ste 209
Gardena, CA 90248
Phone (310) 946-8433
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Abuse Rehabilitation Facility
- Gardena, CA
- NPI 1134774086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676937600000",
"number": "1124691944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 209",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483813",
"telephone_number": "310-946-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 209",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483813",
"telephone_number": "310-946-8433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMATIONS CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRANSFORMATIONS CARE",
"enumeration_date": "2021-07-20",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A",
"authorized_official_last_name": "DILLENBACK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-946-8433"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.