NPIMap

Organization Active NPI

Wings of Refuge Inc

  • Exclusive Provider Organization
  • West Hollywood, CA
National Provider Identifier
1467737510
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
WINGS OF REFUGE INC
Practice address
1049 N Fairfax Ave
West Hollywood, CA 90046-6102
Phone
(323) 654-4155
Fax
(323) 654-5635
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Renee G Moncito
Title
President & Ceo
Phone
(310) 670-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

1049 N Fairfax Ave
West Hollywood, CA 90046-6102

Mailing address

5777 W Century Blvd
Suite 910
Los Angeles, CA 90045-5600
Phone (310) 670-6767

Other names 1

  • Wings of Recovery-West Hollywood Community Day School Other name

National Provider Directory

National Provider Directory
Tax ID family
Wings of Refugeinc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1049 N Fairfax Ave
West Hollywood, CA 90046
Phone (323) 654-4155

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1467737510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W CENTURY BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455600",
            "telephone_number": "310-670-6767",
            "fax_number": "310-670-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 N FAIRFAX AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466102",
            "telephone_number": "323-654-4155",
            "fax_number": "323-654-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF REFUGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MONCITO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-670-6767"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings of Recovery-West Hollywood Community Day School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.