Organization Active NPI

Above and Beyond Care Providers LLC

  • Assisted Living Facility (Mental Illness)
  • Los Angeles, CA
National Provider Identifier
1982386173
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
ABOVE AND BEYOND CARE PROVIDERS LLC
Doing business as
Anew Dawn Adult Living
Practice address
4340 Lockwood Ave
Los Angeles, CA 90029-2810
Phone
(323) 426-9123
Fax
(323) 922-2351
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Patria Maravilla Dufrenne, RN
Title
Ceo
Phone
(909) 210-0365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

4340 Lockwood Ave
Los Angeles, CA 90029-2810

Mailing address

4340 Lockwood Ave
Los Angeles, CA 90029-2810
Phone (323) 426-9123

Other names 1

  • Anew Dawn Adult Living Doing business as

National Provider Directory

National Provider Directory

Locations

4340 Lockwood Ave
Los Angeles, CA 90029
Phone (323) 426-9123

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1982386173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 LOCKWOOD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292810",
            "telephone_number": "323-426-9123",
            "fax_number": "323-922-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 LOCKWOOD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292810",
            "telephone_number": "323-426-9123",
            "fax_number": "323-922-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "DUFRENNE",
        "authorized_official_first_name": "PATRIA",
        "authorized_official_middle_name": "MARAVILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-210-0365",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Dawn Adult Living",
            "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 Aug 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.