NPIMap

Organization Active NPI

Bridges to Recovery III

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1396014544
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
198601411 Issued in CA
Legal business name
BRIDGES TO RECOVERY III
Practice address
777 Sarbonne Rd
Los Angeles, CA 90077-3320
Phone
(310) 459-0613
Fax
(310) 573-7092
NPI assigned
Dec 16, 2011
Organization subpart
Yes
Parent organization
BRIDGES TO RECOVERY II LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Mr. Frederik Vilhelm Schulin
Title
Administrator
Phone
(310) 459-0613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 198601411 CA Primary

Addresses

Primary practice location

777 Sarbonne Rd
Los Angeles, CA 90077-3320

Mailing address

1460 San Remo Dr.
Pacific Palisades, CA 90272
Phone (310) 459-0613

National Provider Directory

National Provider Directory
Tax ID family
Bridges to Recovery II LLC3 organizations share this tax ID, including this one
Part of
Bridges to Recovery II LLC

Other organizations with this tax ID 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1396014544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 SAN REMO DR.",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-459-0613",
            "fax_number": "310-573-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SARBONNE RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900773320",
            "telephone_number": "310-459-0613",
            "fax_number": "310-573-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO RECOVERY III",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGES TO RECOVERY II LLC",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "SCHULIN",
        "authorized_official_first_name": "FREDERIK",
        "authorized_official_middle_name": "VILHELM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-459-0613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "198601411",
            "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 Dec 16, 2011; 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.