Organization Active NPI

Renewyourmind, LLC

  • Case Management Agency
  • Los Angeles, CA
National Provider Identifier
1619410164
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RENEWYOURMIND, LLC
Practice address
3900 Carmona Ave
Los Angeles, CA 90008-1015
Phone
(213) 254-7104
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Manie E Briscoe
Title
Co-Partner
Phone
(213) 254-7104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CA Primary

Addresses

Primary practice location

3900 Carmona Ave
Los Angeles, CA 90008-1015

Mailing address

3900 Carmona Ave
Los Angeles, CA 90008-1015
Phone (213) 254-7104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619410164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CARMONA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081015",
            "telephone_number": "213-254-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CARMONA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081015",
            "telephone_number": "213-254-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWYOURMIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "MANIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-PARTNER",
        "authorized_official_telephone_number": "213-254-7104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "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 Jul 21, 2022; 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.