Organization Active NPI

Ascension Treatment Centers LLC

  • Substance Abuse Rehabilitation Facility
  • View Park, CA
National Provider Identifier
1669912580
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ASCENSION TREATMENT CENTERS LLC
Practice address
4804 Parkglen Ave
View Park, CA 90043-1012
Phone
(323) 792-4007
Fax
(323) 792-4474
NPI assigned
Feb 24, 2017
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Mr. Andrew Alphonso Henderson, MS
Title
Program Director
Phone
(323) 493-6064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4804 Parkglen Ave
View Park, CA 90043-1012

Mailing address

4804 Parkglen Ave
View Park, CA 90043-1012
Phone (323) 792-4007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1669912580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 PARKGLEN AVE",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900431012",
            "telephone_number": "323-792-4007",
            "fax_number": "323-792-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 PARKGLEN AVE",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900431012",
            "telephone_number": "323-792-4007",
            "fax_number": "323-792-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALPHONSO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "323-493-6064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in View Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.