NPIMap

Organization Active NPI

Behavioral Health Services, Inc.

Doing business as BHS Respite and Recovery Center at MLK Campus

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1831898881
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL HEALTH SERVICES, INC.
Doing business as
BHS Respite and Recovery Center at MLK Campus
Practice address
12021 South Wilmington Ave.
BLDG. #18, Suite 102
Los Angeles, CA 90059-3046
Phone
(424) 454-6002
Fax
(005) 583-3969
NPI assigned
Feb 28, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Michael Ballue, CADC-II, CHCNPI 1225500713
Title
Chief Compliance Officer
Phone
(310) 679-9126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12021 South Wilmington Ave.
BLDG. #18, Suite 102
Los Angeles, CA 90059-3046

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126

Other names 1

  • BHS Respite and Recovery Center at MLK Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bhehavioral Health Services41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1831898881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494525",
            "telephone_number": "310-679-9126",
            "fax_number": "310-679-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SOUTH WILMINGTON AVE.",
            "address_2": "BLDG. #18, SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593046",
            "telephone_number": "424-454-6002",
            "fax_number": "005-583-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "BALLUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_credential": "CADC-II, CHC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHS Respite and Recovery Center at MLK Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHS Respite and Recovery Center at MLK Campus",
            "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 Mar 30, 2023; 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.