NPIMap

Organization Active NPI

Special Service for Groups, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1467963256
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SPECIAL SERVICE FOR GROUPS, INC.
Practice address
8627 Juniper Street
Los Angeles, CA 90002-1539
Phone
(213) 553-1800
NPI assigned
Oct 19, 2017
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECIAL SERVICE FOR GROUPS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Herbert K Hatanaka
Title
Executive Director
Phone
(213) 553-1800

Specialties & licenses 1

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

Addresses

Primary practice location

8627 Juniper Street
Los Angeles, CA 90002-1539

Mailing address

905 E 8TH St
Los Angeles, CA 90021-1848

Other names 1

  • CRTP SSG Florence House Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000561 CA Part B Supplier - Clinic/Group Practice 2769396886 Receives reassigned benefits from 130 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Covina, CA; Van Nuys, CA; Palmdale, CA; Los Angeles, CA; Long Beach, CA; Gardena, CA; Cerritos, CA; Alhambra, CA

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Special Service for Groups Inc40 organizations share this tax ID, including this one
Part of
Special Service for Groups Inc

Other organizations with this tax ID 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1467963256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 JUNIPER STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900021539",
            "telephone_number": "213-553-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SERVICE FOR GROUPS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL SERVICE FOR GROUPS, INC.",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-11-12",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "HATANAKA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-553-1800"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRTP SSG Florence House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.