Organization Active NPI

Assured Lifestyle Housing

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1427754274
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASSURED LIFESTYLE HOUSING
Practice address
219 W 98TH St
Los Angeles, CA 90003-4110
Phone
(310) 974-3253
Fax
(310) 974-3254
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Lanear Montgomery
Title
Executive Director
Phone
(310) 974-3253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

219 W 98TH St
Los Angeles, CA 90003-4110

Mailing address

9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204
Phone (310) 974-3253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1427754274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 WILSHIRE BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123204",
            "telephone_number": "310-974-3253",
            "fax_number": "310-974-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W 98TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900034110",
            "telephone_number": "310-974-3253",
            "fax_number": "310-974-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED LIFESTYLE HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "LANEAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-974-3253"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Feb 3, 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.