Animo Locke Tech Charter High School
Community/Behavioral Health

Address: 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001
Phone: 3235858985

Animo Locke Tech Charter High School (NPI# 1790050763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790050763
Entity Type Organization
Organization Name ANIMO LOCKE TECH CHARTER HIGH SCHOOL
Practice Address 810 E. 111th Street
Room # 113 & 114
Los Angeles
CA 90001
Practice Telephone 3235858985
Mailing Address 810 E. 111th Street
Room # 113 & 114
Los Angeles
CA 90001
Mailing Telephone 3235858985
Authorized Official Name Ms. Ronda Renee Dixon (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3239883744
Authorized Official Credential JD
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name DIXON RECOVERY INSTITUTE,INC
Enumeration Date 2012-03-09
Last Update Date 2012-03-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies 190622AN CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 197336 MEDICAID
CA 7336 MEDICAID

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 810 E. 111TH STREET
ROOM # 113 & 114
City LOS ANGELES
State CA
Zip Code 90001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730722539 Lisa Crockom Technician 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 2019-10-24
1679047229 Rosario Montes Behavior Technician 6907 Hooper Ave, Los Angeles, CA 90001 2019-01-16
1467902031 Fun Dental 4 Kids 2 Dentist 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 2016-10-07
1295100709 Central City Community Health Center Clinic/Center 1236 E Florence Ave, Los Angeles, CA 90001 2015-12-09
1437596327 Natasha Nasha Andrews Clinic/Center 1620 E. 83rd Street, Los Angeles, CA 90001 2013-05-31
1679827943 Denise Michelle Betters Counselor 8019 S Compton Ave., Los Angeles, CA 90001 2012-11-07
1093021602 Larthia Renard Dunham Social Worker 8019 S. Compton Blvd., Los Angeles, CA 90001 2010-08-20
1114258761 Central City Comm Hlt Ctr Mobile Unit General Practice 5986 Central Avenue, Los Angeles, CA 90001 2010-01-21
1457688517 Yesenia Cruz Dental Assistant 1119 E 64th St., Los Angeles, CA 90001 2009-11-11
1396979001 Cecilia Echeverria Dental Assistant 1423 Gage Ave, Suite A West Coast Dental, La, CA 90001 2009-05-08
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Competitor

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City LOS ANGELES
Zip Code 90001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.