Organization Active NPI

Heroes Wellness House

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1871324368
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEROES WELLNESS HOUSE
Practice address
532 W 51St St
Los Angeles, CA 90037-3300
Phone
(925) 518-1340
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Fredericka Ford
Title
Executive Director
Phone
(925) 518-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

532 W 51St St
Los Angeles, CA 90037-3300

Mailing address

23010 Ventura Blvd
Woodland Hills, CA 91364-1106
Phone (925) 518-1340

National Provider Directory

National Provider Directory

Locations

23010 Ventura Blvd
Woodland Hills, CA 91364

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1871324368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23010 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641106",
            "telephone_number": "925-518-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W 51ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373300",
            "telephone_number": "925-518-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROES WELLNESS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "FREDERICKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-518-1340"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Aug 8, 2024; 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.