Organization Active NPI

Chances Transition Home

  • Recovery Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1801416631
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
CHANCES TRANSITION HOME
Practice address
1423 W 66TH St
Los Angeles, CA 90047-2011
Phone
(323) 920-4856
Fax
(323) 451-8098
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Ms. Terrevia Buck, RNNPI 1093335887
Title
Ceo
Phone
(323) 920-4856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA2000X
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X
Recovery Care Clinic/Center 261QR0800X Primary
Assisted Living Facility 310400000X
Respite Care 385H00000X

Addresses

Primary practice location

1423 W 66TH St
Los Angeles, CA 90047-2011

Mailing address

1423 W 66TH St
Los Angeles, CA 90047-2011
Phone (323) 920-4856

Other names 1

  • Chances Transition Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1801416631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 W 66TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472011",
            "telephone_number": "323-920-4856",
            "fax_number": "323-451-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W 66TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472011",
            "telephone_number": "323-920-4856",
            "fax_number": "323-451-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCES TRANSITION HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "TERREVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-920-4856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chances Transition Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 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.

Verify at the official NPI Registry.