Organization Active NPI

Lincoln Heights Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1275219123
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LINCOLN HEIGHTS TREATMENT CENTER, LLC
Practice address
2029 Keith St
Los Angeles, CA 90031-3128
Phone
(213) 494-2487
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Angela N McMahon, EDD
Title
Compliance
Phone
(619) 871-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2029 Keith St
Los Angeles, CA 90031-3128

Mailing address

3619 N Mission Rd
Los Angeles, CA 90031-3136
Phone (213) 494-2487

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Heights Treatment Center LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1275219123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313136",
            "telephone_number": "213-494-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 KEITH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313128",
            "telephone_number": "213-494-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HEIGHTS TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "619-871-7345",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 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.

Verify at the official NPI Registry.