LINCOLN HEIGHTS TREATMENT CENTER, LLC
NPI 1073249967
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since July 25, 2022
3619 MISSION NORTH ROAD, LOS ANGELES, CA 90031(213) 494-2487 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About LINCOLN HEIGHTS TREATMENT CENTER, LLC

This page provides the complete NPI Profile along with additional information for Lincoln Heights Treatment Center, Llc, a provider established in Los Angeles, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1073249967 assigned on July 2022. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Angela N Mcmahon Edd (Program Director)

NPI
1073249967 Verify this NPI
Provider Name
LINCOLN HEIGHTS TREATMENT CENTER, LLC
Entity Type
Organization
Location Address
3619 MISSION NORTH ROAD LOS ANGELES, CA 90031
Location Phone
(213) 494-2487
Mailing Address
3619 MISSION NORTH ROAD LOS ANGELES, CA 90031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2022
Last Update Date
07-25-2022
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
2276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 

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

ANGELA N MCMAHON EDD

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(213) 494-2487

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073249967, enumerated as an "organization" on July 25, 2022.

The provider is located at 3619 MISSION NORTH ROAD LOS ANGELES, CA 90031 and the phone number is (213) 494-2487.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.