ANGEL WINGS RECOVERY OF SOUTH BAY – NPI #1215387667
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

ANGEL WINGS RECOVERY OF SOUTH BAY is a substance abuse rehabilitation facility located in HAWTHORNE, CA. NPPES has assigned the NPI number 1215387667 to ANGEL WINGS RECOVERY OF SOUTH BAY on June 16, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGEL WINGS RECOVERY OF SOUTH BAY below.

NPI Profile for
ANGEL WINGS RECOVERY OF SOUTH BAY

NPI Number
1215387667
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANGEL WINGS RECOVERY OF SOUTH BAY
Primary location
3841 W 130TH ST
HAWTHORNE, CA 90250-5311
Phone: (310) 863-7446 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHIL COOKES
CEO
Phone: (310) 863-7446
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 190849BN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.