Re. Awakened Faith Community Services LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

RE. AWAKENED FAITH COMMUNITY SERVICES LLC

Practice address

1516 E. 125TH St
Compton, CA 90222-1004

Phone

(800) 936-0012

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Tanya L Lawrence, MS

Title

Executive Director

Phone

(323) 239-4880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1609453539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5023",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902245023",
            "telephone_number": "800-936-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E. 125TH ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902221004",
            "telephone_number": "800-936-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE. AWAKENED FAITH COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-239-4880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Celeste Ramos Den, LCSW
• Esmeralda A Ramos
• Maral Ranjbar Aghdam
• Sharon Renee Ransfer
• Gaea Ray
• Nagarekha Reddy, D.D.S
• Fernanda Reed
• JD Reed Jr., COUNSELOR
• Tyrone Reed
• Judy M Reese-Crockett

• Community Health Clinic/Center in Compton, CA
• Providers in Compton, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.