Active NPI
Breathe Weho Treatment Services
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1750876835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190788BP
- Legal business name
- BREATHE WEHO TREATMENT SERVICES
- Practice address
- 8020 Jovenita Canyon Dr
Los Angeles, CA 90046-1501 - Phone
- (800) 929-5904
- NPI assigned
- Jun 29, 2018
- Last updated
- Oct 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Ann Dockery
- Title
- Director of RCM
- Phone
- (800) 929-5904
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190788BP | CA | Primary |
Addresses
Primary practice location
8020 Jovenita Canyon Dr
Los Angeles, CA 90046-1501
Mailing address
8060 Melrose Ave FL 3
Los Angeles, CA 90046-7039
Phone (800) 929-5904
National Provider Directory
National Provider Directory- Tax ID family
- Breathe Life Healing Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Breathe Life Healing Centers
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1124457858
Locations
8730 W Sunset Blvd
Ste 550
West Hollywood, CA 90069
Phone (323) 205-4179
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Ventura, CA
- NPI 1922202076
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1023151537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604016000000",
"number": "1750876835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 MELROSE AVE FL 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900467039",
"telephone_number": "800-929-5904",
"fax_number": "855-275-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 JOVENITA CANYON DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900461501",
"telephone_number": "800-929-5904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHE WEHO TREATMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-29",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A",
"authorized_official_last_name": "DOCKERY",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "800-929-5904"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "190788BP",
"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 Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.