SHIELDS FOR FAMILIES NPI 1003041591

Community/Behavioral Health in Lynwood, CA

NPI 1003041591 Organization Community/Behavioral Health

About SHIELDS FOR FAMILIES

Shields For Families is a provider established in Lynwood, California specializing in community/behavioral health. The NPI number of Shields For Families is 1003041591 and was assigned on May 2009. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Kathryn Icenhower Phd (Executive Director)

NPI

1003041591

Provider NameSHIELDS FOR FAMILIES
Provider Location Address2620 INDUSTRY WAY STE A, F LYNWOOD, CA 90262
Provider Mailing Address11601 S WESTERN AVE LOS ANGELES, CA 90047
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-27-2009
Last Update Date08-12-2020


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License StateCA
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Business Address

SHIELDS FOR FAMILIES
2620 INDUSTRY WAY STE A, F
LYNWOOD, CA
ZIP 90262
Phone: (323) 242-5000
Fax: (323) 242-5011

Get Directions


Mailing Address

SHIELDS FOR FAMILIES
11601 S WESTERN AVE
LOS ANGELES, CA
ZIP 90047
Phone: (323) 242-5000
Fax: (323) 242-5011



Authorized Official

Authorized Official NameDR. KATHRYN ICENHOWER PHD
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(323) 242-5000

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7764OTHER (01)CA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.