WINGS OF RECOVERY-CRENSHAW HIGH SCHOOL
NPI 1639466329
Exclusive Provider Organization in Los Angeles, CA

NPI Status: Active since July 01, 2011

Contact Information

5010 11TH AVE
LOS ANGELES, CA
ZIP 90043
Phone: (323) 296-5370
Fax: (323) 292-6712

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  • Exclusive Provider Organization

About WINGS OF RECOVERY-CRENSHAW HIGH SCHOOL

This page provides the complete NPI Profile along with additional information for Wings Of Recovery-crenshaw High School, a provider established in Los Angeles, California operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1639466329 assigned on July 2011. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Wings Of Recovery-crenshaw High School. The authorized official of this NPI record is Renee G Moncito (President & Ceo)

NPI
1639466329
Provider Legal Name
WINGS OF REFUGE, INC
Other Organization Name
WINGS OF RECOVERY-CRENSHAW HIGH SCHOOL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5010 11TH AVE LOS ANGELES, CA 90043
Location Phone
(323) 296-5370
Location Fax
(323) 292-6712
Mailing Address
5777 W CENTURY BLVD SUITE 910 LOS ANGELES, CA 90045
Mailing Phone
(310) 670-6767
Mailing Fax
(323) 292-6712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2011
Last Update Date
07-01-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RENEE G MONCITO

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(310) 709-8977

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639466329
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669861234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 6 + 1 + 2 + 3 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639466329 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073828638A HOME FOR US FOUNDATION INCORPORATED
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)5010 11TH AVE ROOM 106 & 104
LOS ANGELES, CA 90043
(323) 348-4134
1679864482R.I.G.H.T. PROGRAM
Organization
Community/Behavioral Health5010 11TH AVE
LOS ANGELES, CA 90043
(323) 290-7800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639466329, enumerated in the NPI registry as an "organization" on July 01, 2011

The provider is located at 5010 11th Ave Los Angeles, Ca 90043 and the phone number is (323) 296-5370

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

This NPI record was last updated on July 01, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.