Willowbrook Residential Care 2 LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

WILLOWBROOK RESIDENTIAL CARE 2 LLC

Practice address

155 Willowbrook Dr
Ben Lomond, CA 95005-9714

Phone

(323) 484-1300

NPI assigned

Jul 15, 2025

Organization subpart

No

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

Authorized official

Name

Mordechai Wertheimer

Title

Cfo

Phone

(323) 484-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1801788906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 BEVERLY BLVD # 565",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK DR",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059714",
            "telephone_number": "323-484-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK RESIDENTIAL CARE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "WERTHEIMER",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-484-1300"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Vasquez
• Adrian Grant Vega
• Courtney Walter
• Dawn April Whitaker
• Willowbrook Residential Care 1 LLC
• Diana Michelle Wilson, PPS, LEP
• Elizabeth Wilson
• Mason Lucian Chesley Winham-Fletcher V
• Delia Wondoloski
• Tangcheng Wu

• Mental Illness Community Based Residential Treatment Facility in Ben Lomond, CA
• Providers in Ben Lomond, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.