Reese'S Board and Care Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

191801299 Issued in CA

Legal business name

REESE'S BOARD AND CARE HOME

Practice address

11205 Monitor Ave
Los Angeles, CA 90059-1935

Phone

(323) 566-2421

NPI assigned

Sep 16, 2013

Organization subpart

No

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

Authorized official

Name

Helen Moore

Title

Administrattor

Phone

(323) 566-2421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1205262748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 MONITOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 MONITOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591935",
            "telephone_number": "323-566-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE'S BOARD AND CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "ADMINISTRATTOR",
        "authorized_official_telephone_number": "323-566-2421"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "191801299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Dean Reese, M.D
• Rebecca Ann Reese
• Shanta Reese
• Sonja Andrea Reese, MPT
• Yendor Reese
• William Robert Reeve, PHARM. D. BCPP
• Christopher Jaymason Reeves, ACSW
• Jaime Reeves
• Nicholas Reeves, M.D.
• Olivia Basa Reeves, NP

• Mental Illness Community Based Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.