Organization Active NPI

Regeneration Recovery and Reentry Services

  • Case Management Agency
  • Los Angeles, CA
National Provider Identifier
1972373793
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REGENERATION RECOVERY AND REENTRY SERVICES
Practice address
10124 S Broadway Ste 200B
Los Angeles, CA 90003-4561
Phone
(424) 420-1441
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Ms. Tamisha Mann, SOCIAL WORKERNPI 1215512132
Title
Ceo
Phone
(424) 420-1441

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

10124 S Broadway Ste 200B
Los Angeles, CA 90003-4561

Mailing address

10124 S Broadway Ste 200B
Los Angeles, CA 90003-4561
Phone (424) 420-1441

Other names 1

  • Regeneration Recovery and Reentry Services Former legal business name

National Provider Directory

National Provider Directory

Locations

10124 S Broadway
Ste 200B
Los Angeles, CA 90003
Phone (424) 420-1441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1972373793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 S BROADWAY STE 200B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900034561",
            "telephone_number": "424-420-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 S BROADWAY STE 200B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900034561",
            "telephone_number": "424-420-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION RECOVERY AND REENTRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "TAMISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-420-1441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regeneration Recovery and Reentry Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 3, 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.