MINDFUL GROWTH FOUNDATION #1
NPI 1114491636
Community Based Residential Treatment Facility, Mental Illness in Los Angeles, CA

Active since January 17, 2019
3924 W ADAMS BLVD, LOS ANGELES, CA 90018(239) 980-6543(323) 967-7746 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2020, Apr 10, 2020, Jan 17, 2019 (3 updates tracked since 2019).

About Mindful Growth Foundation #1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL GROWTH FOUNDATION #1 (NPI 1114491636) is a healthcare organization registered as a community based residential treatment facility, mental illness in Los Angeles, California and active in the NPI registry since January 2019. The organization lists Jasmine M Sampson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114491636
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMINDFUL GROWTH FOUNDATION
Location Address3924 W ADAMS BLVDLos Angeles, CA 90018-1755
Mailing Address3924 W Adams BlvdLos Angeles, CA 90018-1755 · (323) 998-0654 · Fax (323) 967-7746
Fax(323) 967-7746
Organization SubpartYes
Authorized OfficialJasmine M SampsonCeo · (323) 590-9813
Enumeration DateJanuary 17, 2019
Last NPPES UpdateApril 27, 20203 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
NPI 1114491636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3924 W ADAMS BLVD, Los Angeles, CA 90018

Other Names 1

Other NameMindful Growth Foundation #1

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
3924 W ADAMS BLVD
LOS ANGELES, CA 90018
Rehabilitation Practitioner
3924 W ADAMS BLVD
LOS ANGELES, CA 90018
Social Worker (Clinical)
3924 W ADAMS BLVD
LOS ANGELES, CA 90018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Growth Foundation's NPI number?

The NPI number for Mindful Growth Foundation is 1114491636. It was assigned to this organization in the NPPES registry on January 17, 2019. The provider is also known as Mindful Growth Foundation #1.

Where is Mindful Growth Foundation located?

Mindful Growth Foundation is located at 3924 W Adams Blvd, Los Angeles, CA 90018. The listed phone number is (239) 980-6543.

What is Mindful Growth Foundation's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Mindful Growth Foundation was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.