South Central Residential Care #2

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

198202126 Issued in CA

Legal business name

SOUTH CENTRAL RESIDENTIAL CARE #2

Practice address

1551 W 80TH St
Los Angeles, CA 90047-2839

Phone

(323) 233-3553

Fax

(323) 231-4544

NPI assigned

May 15, 2010

Organization subpart

Yes

Parent organization

SOUTH CENTRAL RESIDENTIAL CAREAs reported in NPPES

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

Authorized official

Name

Ms. Thelma Elrean Williams, 02/10/1947

Title

Pres/Ceo

Phone

(323) 233-3553

Specialties & licenses 1

Addresses

Other names 1

• South Central Residential Care Former legal business name

Part of

South Central Residential Care 2

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1912225855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W 80TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472839",
            "telephone_number": "323-233-3553",
            "fax_number": "323-231-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W 80TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472839",
            "telephone_number": "323-233-3553",
            "fax_number": "323-231-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL RESIDENTIAL CARE #2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL RESIDENTIAL CARE",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "ELREAN",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "323-233-3553",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "02/10/1947"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "198202126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Residential Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• South Central Family Health Center
• South Central Family Health Center
• South Central Family Health Center
• South Central Los Angeles Regional Center for Developmentally Disabled
• South Central Medical Clinic
• South Coast Diagnostic Medical Group
• South Fork Healthcare, LLC
• South Healthcare Center LLC
• South la Eye Clinic
• South Los Angeles Medical Group Professional Corporation

• All providers in Los Angeles, CA
• 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 Dec 27, 2010; 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.