NPIMap

Organization Active NPI

Compassion Elevated Residential Services

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1902538952
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPASSION ELEVATED RESIDENTIAL SERVICES
Practice address
2808 W Florence Ave
Los Angeles, CA 90043-5142
Phone
(424) 351-5990
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Jetena McGheeNPI 1245548767
Title
Owner
Phone
(424) 351-5990

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2808 W Florence Ave
Los Angeles, CA 90043-5142

Mailing address

10736 Jefferson Blvd # 1127
Culver City, CA 90230-4933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jetenamcghee@compassionelevated.com Direct

National Provider Directory

National Provider Directory

Locations

2808 W Florence Ave
Los Angeles, CA 90043
Phone (424) 351-5990

Interoperability endpoints

  • Direct secure messaging: jetenamcghee@compassionelevated.com

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": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1902538952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD # 1127",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900435142",
            "telephone_number": "424-351-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION ELEVATED RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "JETENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-351-5990"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jetenamcghee@compassionelevated.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2808 W Florence Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900435142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 28, 2022; 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.